Experiences of Insulin Restriction or Omission in Type 1 Diabetes Mellitus: A Meta- Synthesis of Patient Experiences and Evidence-Based Guidance for Practice
Date
2020
Authors
Goddard, Georgia
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Abstract
Diabetes mellitus is a significant health issue globally, contributing considerably to morbidity
and mortality. Type 1 diabetes mellitus (T1DM), a specific type of diabetes mellitus, is a
chronic endocrine disease characterised by insufficient insulin production which requires
daily management. Research has shown that individuals withT1DM have increased rates of
psychosocial issues, including disturbed eating behaviours compared to their nondiabetic
peers. Unique to individuals with T1DM is a disordered eating behaviour whereby insulin is
deliberately restricted or omitted, coined ‘diabulimia’. T1DM and its management present a
unique set of biological, psychological and social eating disorder risk factors in addition to
those imposed on the general population which may account for the higher prevalence of
disordered eating behaviours observed. Disturbed eating behaviours and clinical eating
disorders predispose individuals with T1DM to many complex medical risks and increased
risks of morbidity and mortality, which highlights the importance of effective prevention
strategies and interventions. As the empirical evidence surrounding this area of research
continues to grow, it is evident that standard eating disorder treatments are ineffective among
individuals with T1DM, and currently, there is a lack of consensus on best practice. For this
reason, it is critical to increase understanding about the thoughts, beliefs and experiences
associated with disordered eating behaviours and, specifically, the intentional restriction and
omission of insulin within individuals with T1DM. This review aims to identify, analyse and
synthesise existing knowledge about disordered eating behaviour among individuals with
T1DM with a focus on the deliberate restriction and omission of insulin for weight loss.
School/Discipline
School of Psychology
Dissertation Note
Thesis (M.Psych(Health)) -- University of Adelaide, School of Psychology, 2020
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