Eating disorders and insulin-dependent diabetes mellitus

Scott J. Crow, Pamela K. Keel, David Kendall

Research output: Contribution to journalReview articlepeer-review

69 Scopus citations


The eating disorders anorexia nervosa and bulimia nervosa have been reported to occur in Type I diabetes mellitus. Although prevalence estimates vary, the most rigorous studies yield rates similar to the population at large. Intentional insulin omission is more common, especially in young diabetic women, and at times may indicate an eating disorder in Type I diabetic patients. Both diagnosable eating disorders and intentional insulin omission are associated with worse glycemic control and higher rates of secondary diabetic complications. Recognition of these conditions, followed by carefully coordinated treatment involving both diabetes care providers and mental health providers, is necessary to improve treatment outcome.

Original languageEnglish (US)
Pages (from-to)233-243
Number of pages11
Issue number3
StatePublished - 1998

Bibliographical note

Funding Information:
This paper was supported in part by a grant from the McKnight Foundation and by a National Institutes of Health Obesity Center pilot and feasibility grant (Grant No. DK50456).

Copyright 2017 Elsevier B.V., All rights reserved.


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