Evidence map›Paper›PMID 32967730›Full record

ArticleBMC psychology2020

Diabetes and eating disorders: an exploration of 'Diabulimia'.

Sophie Elizabeth Coleman, Noreen Caswell

Open access · goldAbstract read
In one paragraph

Article in BMC psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Article
  6. Review
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  10. Disordered eating behaviours and their associated factors in adults with type 2 diabetes: A multicentre cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2026
    Article
  11. Article
  12. Article
  13. Psychological Impact of Type 1 Diabetes: A Focus on Disordered Eating Behavior in Female Adolescents.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  14. Article
  15. Review
  16. System Failure in Type 1 Diabetes: What Stakeholders Need to Know to Expedite Therapeutic Options.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. The role of diabetes distress in Diabulimia.Journal of eating disorders · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Sophie Elizabeth ColemanTrainee Clinical Psychologist, University of Manchester, Manchester, UK. sophie.coleman-2@postgrad.manchester.ac.uk.
Noreen CaswellSenior Lecturer, School of Psychology, University of Central Lancashire, Preston, UK.
University of Central Lancashire · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background'Diabulimia' is the term given to the deliberate administration of insufficient insulin for the purpose of weight loss. Although Diabulimia can be life-threatening and prevalence rates in diabetes are high, there is a lack of research for how to effectively support people with the condition. This exploratory study aimed to provide much-needed information to healthcare professionals and guide the focus for future research.

methodsForty-five individuals with Type 1 diabetes mellitus (T1DM) and a history of insulin misuse completed an online questionnaire. This included an assessment of their eating disorder psychopathology with the Eating Disorder Examination Questionnaire (EDE-Q) and 16 open-ended questions exploring their experience of Diabulimia. The responses to the open-ended questions were analysed using thematic analysis.

resultsThe average global EDE-Q score was 3.96 (1.21), which is consistent with eating disorder populations. Common themes identified were concerns about weight, difficulty coping with diabetes, past trauma, and the importance of relationships. Experiences with health professionals were overwhelmingly negative. Most participants had experienced serious medical intervention due to Diabulimia and were fully aware of the consequences of insulin restriction.

conclusionsOverall, individuals believed that a greater awareness of Diabulimia and more training for healthcare professionals is needed. While education on insulin misuse may be a necessary first step in treatment, psychological support is crucial. To deliver effective treatment, clinicians should be aware of the specific issues facing those with Diabulimia. The current study identified themes that clinicians may find useful to consider.

Indexed as

Feeding and Eating DisordersHealth Knowledge, Attitudes, PracticeDiabetes Mellitus, Type 1DiabulimiaHumansInsulinInsulinDiabetesDiabulimiaEating disorderInsulin misuseInsulin restrictionT1DMType 1 diabetes mellitus

Identifiers

PMID32967730
PMCPMC7513317
OpenAlexW3088980711

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.