Disordered eating behaviors in people with type 1 diabetes mellitus: a scoping review.
Samara Jesus Sena Marques, Thiago Santos Garces, Samuel Miranda Mattos and 7 others
PMID 41379990WHAT IT FOUND
Skipping insulin to lose weight was the most common disordered eating behavior in people with type 1 diabetes.
Binge eating and restriction were also reported, and these behaviors were linked to high HbA1c, high BMI, body dissatisfaction, depression, anxiety, and distress.
Key findings
01Insulin omission was the most prevalent disordered eating behavior reported in people with type 1 diabetes.
02Disordered eating behaviors were associated with body image dissatisfaction, depression, distress, anxiety, high BMI, high HbA1c, and complications.
03The review included 21 articles, and most used cross-sectional designs with DEPS-R screening.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Most included studies were cross-sectional, so they show associations rather than causes. Most studies used self-report DEPS-R screening, which can introduce response bias and underreporting. The supplied text does not report a pooled prevalence estimate or a quality appraisal of the included studies. Diagnostic criteria and assessment tools varied across studies, limiting comparability.
The easy way to misread this
Do not conclude that skipping insulin is a safe way to lose weight. The review reports insulin omission as the most common disordered eating behavior and associates it with high HbA1c and complications.