Comorbity of eating disorders and depression in T1DM patients: challenges and tasks for dietetician - a pilot study
More details
Hide details
Hospital University in Krakow
Department of Metabolic Diseases, Jagiellonian University Medical College, Krakow, Poland.
Department of Adult Psychiatry, Jagiellonian University Medical College, Kraków, Poland.
Submission date: 2022-12-19
Final revision date: 2023-04-21
Acceptance date: 2023-04-21
Online publication date: 2023-10-01
Publication date: 2023-09-22
Corresponding author
Sabina Krzyżowska   

Hospital University in Krakow
Arch Psych Psych 2023;25(3):33-41
Aim of the study:
The aim was to assess the occurrence of eating disorders (ED) in type 1 diabetes (T1DM) patients being under regular diabetologist care, that qualify for a visit to a psychologist and to evaluate possible correlation of eating disorders with symptoms of depression and anxiety in this population.

Subject or material and methods:
The study included a selected group of 27 adult patients (55.5%- women) with T1DM under the constant care at the diabetes clinic. The following tools were used: to assess depression and anxiety, used the Patient Health Questionnaire (PHQ-9) and Center for Epidemiological Studies Depression Questionnaire (CES-D); EAT-26 assessed ED screening and Mood Disorder Questionnaire (MDQ) – other problems.

Based on the overall assessment of the EAT-26 test as many as 7% of group was problem, which manifested a high level of concern about dieting, body weight or problematic eating behaviors. Additional the 25.9% people reported high depressive. We showed a relationship between ED and depression.

There was a similar frequency of eating disorders ED eating disorders have elevated glycated haemoglobin (HbA1c), however, in our study, the mean HbA1c was 6.85% (51 mmol/mol) - fairly good glycemic control. In addition, a correlation between ED and depression has been noted, and patients with type 1 diabetes are very sensitive to both disorders.

People suffering from type 1 diabetes, due to the increased risk of eating disorders or depression, require comprehensive care of a therapeutic team, which should include a diabetologist, psychologist, psychiatrist, diabetes educator, nurse, nutritionist.

Journals System - logo
Scroll to top