Eating Disorders in Individuals with Type 1 Diabetes: Case Series and day Hospital Treatment Outcome |
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| Authors: | Patricia Anne Colton Marion Patricia Olmsted Harmonie Wong Gary Michael Rodin |
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| Affiliation: | 1. Eating Disorder Program, University Health Network, and Department of Psychiatry, University of Toronto, Canada;2. Research Associate, Eating Disorder Program, University Health Network, Toronto, Canada;3. Psychosocial Oncology and Palliative Care, University Health Network, and Shirley Lederman Professor of Psychiatry, University of Toronto, Canada |
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| Abstract: | Women with type 1 diabetes are at high risk for eating disorders (ED), a combination that can increase medical complications and mortality. As little is known about treatment response in this population, clinical presentation and treatment outcome in an extended case series were assessed. A chart review at the Eating Disorders Day Hospital Program at Toronto General Hospital identified a total of 100 individuals with type 1 diabetes assessed 1990–2012. Of 37 who attended day hospital, most experienced improvement in ED symptoms, but only 18.8% had a good immediate treatment outcome, while 43.8% had an intermediate outcome and 37.5% had a poor outcome (meeting diagnostic criteria at discharge). This is poorer than program outcomes in individuals without diabetes (χ2 = 12.2, df = 2; p = 0.002). Factors influencing treatment engagement and outcome must be further studied and used to improve treatment results in this high‐risk group. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association. |
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| Keywords: | eating disorder diabetes insulin omission |
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