According to the National Eating Disorders Association, eating disorders
— such as anorexia, bulimia and binge eating disorder — include extreme
emotions, attitudes and behaviors surrounding weight and food issues.
Eating disorders are serious emotional and physical problems that can
have life-threatening consequences for females and males.
Women with type 1 diabetes are more than twice as likely to develop an eating disorder than age-matched women without diabetes.
Eating disorders in type 1 diabetes such as
"diabulimia," as it
is known in the popular press, represent some of the most complex
patient problems—both medically and psychologically.
Women with eating disorders and diabetes typically struggle with
symptoms similar to those of women with eating disorders who do not have
diabetes. However, they exhibit a very dangerous symptom of calorie
purging in the form of insulin restriction.
This condition is characterized by weight and body image concerns that lead to the mismanagement of diabetes.
The NHS National Diabetes Audit says a high proportion of women aged
between 15 and 30 are skipping insulin injections to lose weight. Now a charity wants diabulimia, as it is known, officially recognised as a mental health condition.
"Between 1 April 2010 and 31 March 2011, 8,472 people included in the
NDA [national diabetes audit] were admitted to hospital in the UK for
diabetic ketoacidosis."