Eating Disorder Screening

The study findings support routine eating disorder screening in individuals with type 1 diabetes, particularly adolescent and young adult females. Clinicians should watch for unexplained deterioration in glycaemic control, recurrent diabetic ketoacidosis, and possible intentional insulin omission as warning signs of an eating disorder. Effective treatment of comorbid anorexia nervosa and type 1 diabetes requires coordinated input from endocrinology, psychiatry, psychology, and nutrition. The Diabetes Eating Problem Survey-Revised is a validated screening tool for eating disorders in the type 1 diabetes population.