Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ)

1990-472X

Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации

10786

10.18499/1990-472X-2025-26-1-55-63

Diabulimia - eating disorder type 1 (review)

Evdokimova

Nina

posohova.nina2014@yandex.ruKaplina

Daria

d.k4plina@yandex.ru

28032025

2615563

31032025

2025

<p>Diabulimia is a new complication of type 1 diabetes mellitus, which affects one third of patients aged 15 to 30 years. However, "diabulimia" is not yet an official diagnosis. This problem is considered as a repetitive, abnormal, compensatory behavior associated with the refusal of insulin in order to control body weight. Standard methods of diagnosis and treatment of eating disorders have shown their ineffectiveness in "diabulimia". This article describes possible predisposing factors, mechanisms of development, as well as methods of diagnosis, treatment and prevention.</p>

type 1 diabeteseating disorderdiabulimiabody dissatisfaction.

сахарный диабет 1 типарасстройство пищевого поведениядиабулимиянеудовлетворенность телом.

1. Surgenor LJ, Horn J, Hudson SM. Links between psychological sense of control and disturbed eating behavior in women with diabetes mellitus. Implications for predictors of metabolic control. J Psychosom Res. 2002 Mar;52(3):121-8. doi: 10.1016/s0022-3999(01)00243-4.

2. Leith van Heyningen C.D., Manoharan K.S. Diabulimia: an easily missed diagnosis? // Br J Diabetes. – 2018. – Vol. 18. – Р. 167-170. https://doi.org/10.15277/bjd.2018.196

3. Goebel-Fabbri, A. (2017). Prevention and Recovery from Eating Disorders in Type 1 Diabetes: Injecting Hope (1st ed.). Routledge. https://doi.org/10.4324/9781315710136

4. Keane, S., Clarke, M., Murphy, M. et al. Disordered eating behaviour in young adults with type 1 diabetes mellitus. J Eat Disord 6, 9 (2018). https://doi.org/10.1186/s40337-018-0194-2

5. Mafi R., Naqvi A., Jeschke J., Kucharska K. Therapeutic traps in management of diabulimia in acute setting: A case report // Postępy Psychiatrii i Neurologii. -2016. – Vol. 25, Is. 2. – P. 124-128. https://doi.org/10.1016/j.pin.2016.04.003

6. Deiana V, Diana E, Pinna F, Atzeni MG, Medda F, Manca D, et al. Clinical features in insulin-treated diabetes with comorbid diabulimia, disordered eating behaviors and eating disorders. Eur Psychiatry. 2016;33:S81. https://doi.org/10.1016/j.eurpsy.2016.01.029

7. Merwin RM, Dmitrieva NO, Moskovich AA, et al. Profiles of disordered eating behaviour in type 1 diabetes using the DEPS-R and behaviour and glycaemic outcomes in a real-life setting. Diabet Med. 2024;41:e15314. doi:10.1111/dme.15314

8. Coleman, S.E., Caswell, N. Diabetes and eating disorders: an exploration of ‘Diabulimia’//BMC Psychol 8, 101 (2020). https://doi.org/10.1186/s40359-020-00468-4

9. Balfe M, Doyle F, Smith D, Sreenan S, Conroy R, Brugha R. Dealing with the devil: weight loss concerns in young adult women with type 1 diabetes. J Clin Nurs. 2013;22(13):2030–8. https://doi.org/10.1111/jocn.12231

10.

10. Kinik M.F., Gönüllü F.V., Vatansever Z., Karakaya I. Diabulimia, a Type I diabetes mellitus- specific eating disorder // Turk Pediatri Ars. – 2017. – Vol. 52(1). – Р. 46–49. https://doi.org/10.5152/turkpediatriars.2017.2366

11.

11. Rikani A, Choudhry Z, Choudhry AM, et al. A critique of the literature on etiology of eating disorders. Ann Neurosci 2013; 20: 157-61. https://doi.org/10.5214/ans.0972.7531.200409

12.

12. Harrison A, Zaremba N, Brown J, et al. A cognitive behavioural model of the bidirectional relationship between disordered eating and diabetes self care in people with type 1 diabetes mellitus. Diabet Med. 2021;38(7):e14578. https://doi.org/10.1111/dme.15287

13.

13. Colton P, Rodin G, Bergenstal R, Parkin C. Eating Disorders and Diabetes : Introduction and Overview. Diabetes Spectr 2009; 22: 138-42. https://doi.org/10.2337/diaspect.22.3.138

14.

14. Takii M, Uchigata Y, Tokunaga S, et al. The duration of severe insulin omission is the factor most closely associated with the microvascular complications of Type 1 diabetic females with clinical eating disorders. Int J Eat Disord 2008; 41: 259-64. https://doi.org/10.1002/eat.20498

15.

15. Kelly SD, Howe CJ, Hendler JP, Lipman TH. Disordered eating behaviors in youth with type 1 diabetes. Diabetes Educ 2005; 31: 572-83. https://doi.org/10.1177/0145721705279049

16.

16. Duncan L, Yilmaz Z, Gaspar H, Walters R, Goldstein J, Anttila V, Bulik-Sullivan B, Ripke S; Eating Disorders Working Group of the Psychiatric Genomics Consortium; Thornton L, Hinney A, Daly M, Sullivan PF, Zeggini E, Breen G, Bulik CM. Significant Locus and Metabolic Genetic Correlations Revealed in Genome-Wide Association Study of Anorexia Nervosa. Am J Psychiatry. 2017 Sep 1;174(9):850-858. doi: 10.1176/appi.ajp.2017.16121402.

17.

17. Powers MA, Richter S, Ackard D, Craft C. Development and validation of the screen for early eating disorder signs (SEEDS) in persons with type 1 diabetes. Eat Disord. 2016;24(3):271-

18.

288. https://doi.org/10.1080/10640266.2015.1090866

19.

18. Gagnon C, Bélanger C, Aimé A. Predictors of comorbid eating disorders and diabetes in people with type 1 and type 2 diabetes. Can J Diabetes. 2017;41(1):52–7. https://doi.org/10.1016/j.jcjd.2016.06.005

20.

19. Eating disorders and type 1 diabetes: a challenging combination Treasure, Janet The Lancet Diabetes & Endocrinology, Volume 6, Issue 4, 273 https://doi.org/10.1016/S2213- 8587(18)30072-X

21.

20. Paige J. Trojanowski, Rachel E. Frietchen, Blair Harvie, Robyn Mehlenbeck, Sarah Fischer, Internet‐delivered eating disorders prevention program for adolescent girls with type 1 diabetes: Acceptable and feasible, Pediatric Diabetes, 10.1111/pedi.13395, 23, 7, (1122-1132), (2022). https://doi.org/10.1111/pedi.13395