Eating patterns in adolescents with type 1 diabetes: Associations with metabolic control, insulin omission, and eating disorder pathology
Open accessAbstract
Objective The purpose of this study was to investigate eating patterns among male and female adolescents with type 1 diabetes (T1D), and the associations with age, zBMI, eating disorder (ED) pathology, intentional insulin omission, and metabolic control. Method The sample consisted of 104 adolescents (58.6% females) with child-onset T1D, mean age of 15.7 years (SD 1.8) and mean zBMI of 0.4 (SD 0.8). The Child Eating Disorder Examination (ChEDE) assessed meal/snack frequency and ED pathology. T1D clinical data was obtained from the Norwegian Childhood Diabetes Registry. Results A significantly lower proportion of females than males (73.8% vs 97.7%) consumed breakfast on a daily basis. Approximately 50% of both genders ate lunch and 90% ate dinner daily. Among females, skipping breakfast was significantly associated with higher global ED psychopathology, shape concerns, self-induced vomiting, binge eating, insulin omission due to shape/weight concerns, and poorer metabolic control. Less frequent lunch consumption was significantly associated with poorer metabolic control. Skipping dinner was significantly associated with older age, higher dietary restraint, eating concerns, self-induced vomiting, and insulin omission. Among males, less frequent consumption of lunch and evening snacks was associated with attitudinal features of ED, including shape/weight concerns and dietary restraint. Discussion Among adolescents with T1D, irregular or infrequent meal consumption appears to sig…
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Insulin omission as a weight-loss strategy ('diabulimia') often starting in teenage years warrants special attention.
“Insulin omission as a weight-loss strategy (“diabulimia”) often starting in teenage years warrants special attention (195,196).”
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Insulin restriction and associated morbidity and mortality in women with type 1 diabetes
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Holt, R. I. G., DeVries, J. H., Hess-Fischl, A., Hirsch, I. B., Kirkman, M. S., Klupa, T., Ludwig, B., Nørgaard, K., Pettus, J., Renard, E., et al. (2021) · Diabetes Care · doi:10.2337/dci21-0043 · Cited by 699 · see citing works
Eating patterns and food intake of persons with type 1 diabetes within the T1D Exchange
Powers, M. A., Gal, R. L., Connor, C. G., Mangan, M., Maahs, D. M., Clements, M. A., & Mayer-Davis, E. J. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2018.05.011 · Cited by 53 · see citing works
- Authors
- Wisting, L., Reas, D. L., Bang, L., Skrivarhaug, T., Dahl-Jørgensen, K., & Rø, Ø.
- Affiliations
- Oslo University Hospital (NO)
- Corresponding author
- Wisting, Line
- Venue
- Appetite
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 114
- Pages
- 226-231
- ISSN
- 0195-6663 (ISSN-L)
- OpenAlex
- W2602981093
- Cited by
- 49
- References
- 4
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 5 · 2023: 6 · 2022: 8 · 2021: 6 · 2020: 7 · 2019: 6 · 2018: 2 · 2017: 1
- FWCI
- 5.41
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Appetite (publishedVersion)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Funders
- Research Council of Norway
- Norwegian Childhood Diabetes Registry
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- type 1 diabetes, adolescents, dietary habits, eating pathology, insulin omission, metabolic control, meal skipping, breakfast skipping, dietary restraint, shape concern, binge eating, self-induced vomiting, sex differences
- MeSH terms
- Adolescent, Adolescent Behavior, Feeding and Eating Disorders, Combined Modality Therapy, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Diet, Diabetic, Feeding Behavior, Female, Glycated Hemoglobin, Humans, Hyperglycemia, Hypoglycemia, Hypoglycemic Agents, Insulin, Male, Norway, Patient Compliance, Psychiatric Status Rating Scales, Registries, Sex Factors, Exercise, Adolescent Nutritional Physiological Phenomena
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