A service model for the prevention and management of disordered eating and clinical eating disorders in adolescents with type 1 diabetes

Abstract

Objectives: To outline a service model for the prevention and management of disordered eating and clinical eating disorders in adolescents with type 1 diabetes. Methods: Diabetes clinicians and eating disorder specialists developed management pathways for three groups of high risk patients. 1. Newly diagnosed patients with pre-existing weight/shape concerns, low self-esteem and/or inadequate family and social support 2. Those suspected or identified as having disordered eating 3. Those with established clinical eating disorders. Results: Psychosocial screening for all patients is recommended to identify high risk patients. Resilience, comprehensive education and social support programs should be implemented to prevent disordered eating occurring. For patients with disordered eating, a three session intervention is proposed encompassing psychoeducation, general coping and tailored coping skills. Referral to eating disorder specialists and dual care pathways with both teams is recommended for those with established clinical eating disorders. Conclusions: The expertise of two highly skilled medical teams was utilised to develop a model that could be adapted for other diabetes services.L720734332015-11-20 <br />