Diabetes technologies in people with type 1 diabetes mellitus and disordered eating: A systematic review on continuous subcutaneous insulin infusion, continuous glucose monitoring and automated insulin delivery

Priesterroth, Lilli; Grammes, Jennifer; Clauter, Mona; Kubiak, Thomas

doi:10.1111/dme.14581

Cited by 21 publications

(14 citation statements)

References 59 publications

(162 reference statements)

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“…This prevalence is lower than previous Danish and Italian studies that found DEB in 21% and 21.8% of adolescents with T1D, respectively [ 31 , 32 ]. Prevalence estimates for DEB are variable between different studies with a wide range from < 1 to 39% [ 33 – 36 ]. This discrepancy could be attributed to cultural differences, different study designs, timing and sample characteristics among the studied populations.…”

Section: Discussionmentioning

confidence: 99%

Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control

2022

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Background Disordered eating behaviour (DEB) represents a significant morbidity among people with type-1 diabetes (T1D). Continuous-subcutaneous insulin infusion (CSII) improves glycemic control and psychological wellbeing in those with T1D. However, its relation to DEB remains obscure. Objectives To compare DEB among adolescents with T1D on CSII versus basal-bolus regimen and correlate it with body image, HbA1C and depression. Methods Sixty adolescents with T1D (30 on CSII and 30 on basal-bolus regimen), aged 12–17 years were studied focusing on diabetes-duration, insulin therapy, exercise, socioeconomic standard, hypoglycemic attacks/week and family history of psychiatric illness. Anthropometric measures, HbA1C, binge eating scale (BES), body image tool, patient health questionnaire-9 (PHQ9) and the Mini-KID depression scale were assessed. Results Among the studied adolescents with T1D, six had DEB (10%), 14 had poor body-image perception (23.3%), 42 had moderate body-image perception (70%) and 22 had depression (36.7%). Adolescents with T1D on CSII had significantly lower BES (p = 0.022), Mini-KID depression (p = 0.001) and PHQ9 (p = 0.02) than those on basal-bolus regimen. BES was positively correlated to depression (p < 0.001), HbA1C (p = 0.013) and diabetes-duration (p = 0.009) and negatively correlated to body-image (p = 0.003). Conclusion DEB is a prevalent comorbidity among adolescents with T1D, with higher frequency in those on basal-bolus regimen than CSII.

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Section: Discussionmentioning

confidence: 99%

Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control

2022

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“…More rigorous methods to identify underlying mechanisms of action that drive change in eating and treatment behaviors, as well as associated mental distress, are needed (410). Health care teams may consider the appropriateness of technology use among people with diabetes and disordered eating behaviors, although more research on the risks and benefits is needed (411). Caution should be taken in labeling individuals with diabetes as having a diagnosable psychiatric disorder, i.e., an eating disorder, when disordered or disrupted eating patterns are found to be associated with the disease and its treatment.…”

Section: Psychological Assessment and Treatmentmentioning

confidence: 99%

5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023

ElSayed¹,

Aleppo²,

Aroda³

et al. 2022

Diabetes Care

224

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The American Diabetes Association (ADA) “Standards of Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations and a full list of Professional Practice Committee members, please refer to Introduction and Methodology. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.

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“…On the other hand, those with psychotic disorders least frequently used insulin pumps, and those with eating disorders and ADHD had similar levels of uptake. 196 There is some indication that the use of pumps is associated with fewer disordered eating behaviors because of the flexibility a pump provides 197 ; however youth with ED or depression are more likely to discontinue pump use than children without co‐morbid mental health conditions. 196 …”

Section: Diabetes Technologymentioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2022: Psychological care of children, adolescents and young adults with diabetes

et al. 2022

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Psychological care of youth with type 1 diabetes (T1D) as well as type 2 diabetes (T2D) is covered. • Additional sections on the psychological assessment, communication, the health care team and psychological impact of technology are added 2 | EXECUTIVE SUMMARY AND RECOMMENDATIONS 2.1 | Collaborative care • Psychosocial care should be integrated with collaborative, personcentered medical care and provided to all youth with diabetes and their families. A • Professionals with expertise in the mental health of children and adolescents are essential members of interdisciplinary diabetes health care team. B • Mental health professionals should be available to interact with youth and their families, and also to support the diabetes team in the recognition and management of mental health and behavior problems. C • It is preferable that mental health specialists who interact with children with diabetes have training in diabetes and its management. E 2.2 | Integrating psychosocial assessments in routine diabetes care • Age-appropriate and validated assessment tools should be routinely implemented in clinical practice to monitor and discuss

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Diabetes technologies in people with type 1 diabetes mellitus and disordered eating: A systematic review on continuous subcutaneous insulin infusion, continuous glucose monitoring and automated insulin delivery

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 21 publications

References 59 publications

Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control

Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control

5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023

ISPAD Clinical Practice Consensus Guidelines 2022: Psychological care of children, adolescents and young adults with diabetes

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