Abstract
Aim
The aim of this study was to determine the prevalence of likely eating disorders and
insulin misuse in a prospective cohort of adults with type 1 diabetes mellitus (T1DM)
treated with insulin pump therapy.
Methods
This prospective study was held at the participants’ home. The participants completed
the SCOFF questionnaire as well as a question related to insulin misuse. Information
about lifestyle, medical history, insulin pump and Continuous Glucose Monitoring (CGM)
data were collected.
Results
The analysis covered 198 participants with a median age of 51 [95% CI 38; 62] years.
The prevalence of likely eating disorders was 21.7% (95% CI 16.3; 28.2) in the study
population and 20.6% (95% CI 14.3; 28.6) and 24.2% (95% CI 14.6; 37.0) in males and
females respectively. The prevalence of insulin misuse was 39.0% (95% CI 30.8; 47.7).
There was no significant difference in prevalence between males and females for likely
eating disorders and insulin misuse. The analysis of CGM data revealed no factors
related to glycaemic control associated with likely eating disorders.
Conclusion
The results of this study indicate that the prevalence of likely eating disorders
is high even in a middle-aged population with a T1DM and satisfactory glucose control.
Keywords
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Article info
Publication history
Published online: March 17, 2023
Accepted:
March 14,
2023
Received in revised form:
March 3,
2023
Received:
February 6,
2023
Identification
Copyright
© 2023 Elsevier B.V. All rights reserved.
