2020, Number 1
<< Back Next >>
Rev Cuba Endoc 2020; 31 (1)
Toward a definition and consensus of the term
Hernández RJ, Ledón LL
Language: Spanish
References: 20
Page:
PDF size: 340.17 Kb.
ABSTRACT
Introduction: The term "diabulimia" results from the combination of two words: diabetes mellitus and bulimia. One of the characteristics of the patients affected is the deliberate restriction of insulin with the aim of controlling body weight.
Objective: To describe the definition and current consensus on the term diabulimia.
Methods: It was carried out a search of important literature on the subject. There were used as search engines of scientific information Pubmed and Google Scholar. As eligibility criteria, there were assessed review articles, research and web pages that, in general, were less than 10 years of been published, in Spanish, Portuguese and English languages, which would make specific reference to the studied topic, and that would address the issue through any research methodology (quantitative, qualitative, operations research, others). There were excluded the articles that did not comply with these conditions. This allowed the study of 33 articles, of which 20 are referenced in this article.
Conclusions: The description of the term diabulimia generates significant challenges. There are different definitions, which tends to confuse patients and even health professionals. At present, it has not been possible to achieve a consensus on this definition that is why it will continue to be a slang term and will not be officially recognized as a disease. It is important to admit the relevance of diabulimia and to be able to identify indicators of its presence, since this condition exposes patients with diabetes mellitus to deleterious effects on their health and quality of life.
REFERENCES
Nip AS, Reboussin BA, Dabelea D, Bellatorre A, Mayer-Davis EJ, Kahkoska AR, et al. Disordered eating behaviors in youth and young adults with type 1 or type 2 diabetes receiving insulin therapy: The SEARCH for Diabetes in Youth Study. Diabetes Care. March 2019;12:1-8.
De Paoli T, Rogers PJ. Disordered eating and insulin restriction in type 1 diabetes: A systematic review and testable model. Eat Disord. 2018;26(4):343-60.
Kınık MF, Gönüllü FV, Vatansever Z, Karakaya I. Diabulimia, a Type I diabetes mellitus-specific eating disorder. Turkish Archives of Pediatrics/Türk Pediatri Arşivi. [Internet] 2017 [citado: 04/04/2019];52(1):46-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396822/
Ruth-Sahd LA, Schneider M, Haagen B. Diabulimia. What it is and how to recognize it in critical care. Dimens Crit Care Nurs. 2009;28(4):147-53.
Markowitz JT, Alleyn CA, Phillips R, Muir A, Young-Hyman D, Laffel LMB. Disordered eating behaviors in youth with type 1 diabetes: Prospective pilot assessment following initiation of insulin pump therapy. Diabetes Technology & Therapeutics. 2013;15(5):428-33.
Grassi B, Tapia L, Aracena I, Astudillo R, Kara F, Aliste M, et al. Características clínicas, esquemas de tratamiento, grado de control y variables asociadas a este en una cohorte de adultos con diabetes mellitus tipo 1 en un centro terciario. Revista médica de Chile. 2019;147(4):451-7.
Davidson J. Diabulimia: how eating disorders can affect adolescents with diabetes. Nurs Stand. 2014;29(2):44-9.
American Diabetes Association. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes-2018. Diabetes Care. 2018;41(Supplement 1):S73-S85.
Díaz O, Orlandi N. Manual para el diagnóstico y tratamiento del paciente diabético a nivel primario de salud. Revista Cubana de Medicina General Integral. [Internet] 2017 [citado: 02/04/2019];36(2). Disponible en: http://www.bvs.sld.cu/libros/manual_diag_ttmo_paciente_diabetico/indice_p.htm
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.
Juruć A, Kubiak M, Wierusz-Wysocka B. Psychological and medical problems in prevention and treatment of eating disorders among people with type 1 diabetes. Clinical Diabetology. 2016;5(1):26-31.
Falcão MA, Francisco R. Diabetes, eating disorders and body image in young adults: an exploratory study about “diabulimia”. Eating and Weight Disorders-Studies. Anorexia, Bulimia and Obesity. 2017;22(4):675-82.
Chelvanayagam S, James J. What is diabulimia and what are the implications for practice? Br J Nurs. 2018;27(17):980-6.
Torjesen I. Diabulimia: the world’s most dangerous eating disorder. BMJ. [Internet] 2019 [citado: 18/03/2019];364:l982-3. Disponible en: https://www.bmj.com/content/364/bmj.l982
Leith CD, Sujay K. Diabulimia: an easily missed diagnosis? British Journal of Diabetes. 2018;18(4):167-70.
Young-Hyman DL, Davis CL. Disordered eating behavior in individuals with diabetes: importance of context, evaluation, and classification. Diabetes Care. 2010;33(3):683-9.
Merwin RM, Dmitrieva NO, Honeycutt LK, Moskovich AA, Lane JD, Zucker NL, Surwit RS, Feinglos M, Kuo J. Momentary predictors of insulin restriction among adults with type 1 diabetes and eating disorder symptomatology. Diabetes Care. 2015;38:2025-32.
Wisting L, Froisland Dh, Skrivarhaug T, Dahl-Jorgensen K, Ro O. Disturbed eating behavior and omission of insulin in adolescents receiving intensified insulin treatment. Diabetes Care. 2013;36:3382-7.
Hasken J, Kresl L, Nydegger T, Temmed M. Diabulimia and the role of school health personnel. Journal of School Health. 2010;80(10):465-9.
Hastings A, McNamara N, Allan J, Marriott M. The importance of social identities in the management of and recovery from ‘Diabulimia’: A qualitative exploration. Addictive Behaviors Reports. 2016;4:78-6.