Disordered eating and insulin restriction in type 1 diabetes: A systematic review and testable model

Tara De Paoli, Peter Rogers*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

17 Citations (Scopus)
546 Downloads (Pure)

Abstract

Aim: To provide an overview of the existing literature pertaining to insulin restriction as a disordered eating behaviour in individuals with type 1 diabetes and present a novel maintenance model: The Transdiagnostic Model of Disordered Eating in Type 1 Diabetes.Method: A systematic review was conducted of the current literature relevant to insulin restriction and/or omission in the context of disordered eating in type 1 diabetes. A new maintenance model was then developed by incorporating diabetes-specific factors into existing eating disorder models.Results: Type 1 diabetes may complicate the development and maintenance of disordered eating behaviour. Diabetes-specific circumstances, including disease diagnosis, insulin management, insulin restriction, and diabetes-related complications, contribute to the maintenance of disordered eating cognitions and behaviours.Discussion: The proposed model offers a comprehensive representation of insulin restriction as a disordered eating behaviour in type 1 diabetes. Future research should test the model to further understand the mechanisms underlying disordered eating in type 1 diabetes and inform treatments for this at-risk population.

Original languageEnglish
Number of pages18
JournalEating Disorders
Early online date28 Nov 2017
DOIs
Publication statusE-pub ahead of print - 28 Nov 2017

Structured keywords

  • Brain and Behaviour
  • Nutrition and Behaviour

Keywords

  • type 1 diabetes
  • eating disorder
  • insulin restriction

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