Indiana University

Diabulimia

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Air date: April 27, 2008

Host: Barbara Lewis

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Interview: Ann E. Goebel-Fabbri, PhD
Joslin Diabetes Center
Boston, MA



Managing type 1 diabetes is tough enough: finding the right balance of food and insulin to keep the body’s blood sugar levels in control.

Add to that the difficulty of dealing with an eating disorder, and you might end up with what's been labeled "diabulimia" -- even though our next guest isn't too fond of that tag.

In this segment, Barbara Lewis is joined by Ann E. Goebel-Fabbri, PhD, a psychologist and investigator in the Section on Behavioral and Mental Health at the Joslin Diabetes Center.

She's studied patients who have both diabetes and eating disorders. With so-called diabulimia, women with type 1 diabetes deliberately take less insulin than prescribed. A new study found these women had a three-fold increased risk of death and higher rates of disease complications and also exhibited eating disorder symptoms and behaviors.

The new research appears in the March issue of Diabetes Care.

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