Type 1 diabetes and disordered eating (T1DE): the ComPASSION Project – Wessex. (15th August 2020)

• Record Type: Journal Article
• Authors: Partridge, Helen; Figueiredo, Carla; Rouse, Lindsey; Cross, Caroline; Pinder, Claire; Ryder, Jacqueline; Bennett, Michelle; Stacey, Nicola
• Is Part Of: Practical diabetes. Volume 37:Number 4(2020)
• Page Start: 127
• Page End: 132
• Publication Date: 2020-08-15
• Subjects: type 1 diabetes -- eating disorder -- diabulimia -- T1DE -- mental health; Diabetes -- Treatment -- Periodicals; Medical protocols -- Periodicals; 616.46206
• DOI: 10.1002/pdi.2286
• Languages: English
• ISSNs: 2047-2897

Abstract

Abstract: The combination of type 1 diabetes and an eating disorder is ill understood with no clear nomenclature, definition or evidence base defined for management and support. It is well recognised that diabetes and mental health concerns often co‐exist and type 1 diabetes per se is associated with specific self‐management requirements which may predispose an individual to challenging cognitions and behaviours around food due to the nature of carbohydrate counting and insulin management. While most diabetes teams recognise the mental health concerns around diabetes, there are few areas where multidisciplinary teams work cohesively combining diabetes care and mental health care. This is particularly relevant in the case of eating disorders where neither team are likely to be sufficiently skilled to manage the combination of type 1 diabetes and an eating disorder individually, and a strong multidisciplinary team approach with shared learning and a holistic ethos is paramount. We describe here an NHS England funded pilot whereby the diabetes teams and eating disorders teams in Wessex work side by side developing a service specifically for people with this incredibly complex and challenging combination. Copyright © 2020 John Wiley & Sons.