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Fifteen-minute consultation: Diabulimia and disordered eating in childhood diabetes
  1. Toby Candler1,
  2. Rhian Murphy2,
  3. Aisling Pigott3,4,
  4. John W Gregory1,5
  1. 1 Department of Child Health, University Hospital of Wales, Cardiff, UK
  2. 2 Department of Clinical Psychology, University Hospital of Wales, Cardiff, UK
  3. 3 Department of Nutrition and Dietetics, University Hospital of Wales, Cardiff, UK
  4. 4 Cardiff School of Health Sciences, Cardiff Metropolitan University, Cardiff, UK
  5. 5 Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
  1. Correspondence to Dr Toby Candler, Department of Child Health, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK; toby.candler{at}


Type 1 diabetes mellitus (T1DM) is a common chronic disease in children and young people. Living with diabetes can pose many challenges both medical and psychological. Disordered eating behaviours, intentional insulin omission and recognised eating disorders are common among young people with diabetes and are associated with increased risk of short-term and long-term complications and death. Recognition of these behaviours is important to ensure that relevant support is provided. Joint working between diabetes and mental health teams has challenges but is essential to ensure all needs are met during treatment and recovery.

  • diabetes
  • adolescent health
  • child psychology
  • evidence based medicine
  • general paediatrics

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.