Abstract | OBJECTIVE: METHODS: A 40-item, web-based survey was administered to 21 T1DM discussion boards, Listservs, and social media outlets. The survey assessed demographics, diabetes management, psychiatric diagnoses, and screened for diabulimia. Individuals who reported intentionally skipping or using less insulin than directed for the purpose of weight loss or to prevent weight gain in the past 12 months were classified as having diabulimia. RESULTS: Of the 225 participants who completed the survey, 8.9% had diabulimia. Patients with diabulimia had elevated hemoglobin A1C (A1C) levels (8.4% vs 6.9%; P = .014), higher rates of a diabetes-related emergency department visits or hospitalization (30.0% vs 13.2%; P = .042), and higher rates of a major depressive disorder diagnosis (40.0% vs 11.5%; P < .001) than patients without diabulimia. Factors associated with diabulimia included high A1C levels (odds ratio, 1.43; 95% CI [1.08-1.91]; P = .014) and a major depressive disorder diagnosis (odds ratio, 4.87; 95% CI [1.31-18.22]; P = .018). CONCLUSION:
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Authors | Eric J Ip, Shadi Doroudgar, Aava Salehi, Fojan Salehi, Mitra Najmi |
Journal | Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
(Endocr Pract)
Vol. 29
Issue 11
Pg. 849-854
(Nov 2023)
ISSN: 1530-891X [Print] United States |
PMID | 37567472
(Publication Type: Journal Article)
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Copyright | Copyright © 2023 AACE. Published by Elsevier Inc. All rights reserved. |
Chemical References |
- Glycated Hemoglobin
- Insulin
- Insulin, Regular, Human
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Topics |
- Humans
- Adult
- Diabetes Mellitus, Type 1
(complications, epidemiology)
- Diabulimia
(complications)
- Glycated Hemoglobin
- Depressive Disorder, Major
(complications)
- Feeding and Eating Disorders
(complications)
- Insulin
- Weight Loss
- Insulin, Regular, Human
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