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Psychosomatics. 1991 Spring;32(2):171-6.

Eating disorders and intentional insulin undertreatment in adolescent females with diabetes.

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Department of Psychiatry, Toronto Hospital, University of Toronto, Ontario.


Intentional undertreatment with insulin was found to be a common method of inducing weight loss or preventing weight gain in female adolescents with insulin-dependent diabetes mellitus (IDDM) and eating disorders. More than half of those with eating disorders intentionally omitted insulin to produce hyperglycemia and weight loss. Individuals with eating disorders were also less compliant with other aspects of IDDM management and had poorer metabolic control than the rest of the sample. It is suggested here that intentional undertreatment with insulin in some individuals with IDDM may be regarded as an equivalent to purging, with similar purpose and consequences.

[Indexed for MEDLINE]

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