This course will explore the connection between the development of eating disorders and diabetes. The goal of this course is to help the professional have a solid foundation to identify when disordered eating is present and how to safely proceed. It will also offer training on how to steer clients away from choices which promote the development of disordered eating in a weight-neutral to weight-liberated way.
- Dr. Lesley Williams, MD, CEDS (68:32)
- Jennifer L. Gaudiani, MD, CEDS, FAED (66:19)
- Anny Ha, MS, RD, CEDRD, CDE, Nicole Napientek, MPH, RDN, Carolyn Fisher PhD, BCB (67:08)
- Erin Phillips, MPH, RD, CDE (69:57)
- Why Weight Neutral Care is Essential BONUS Ebook
- Disordered Eating Q&A from the Symposium
The Medical Side - When Diabetes and Disordered Eating Collide
Research reflects that the prevalence of eating disorders in patients with IDDM1 is 30+%. Binge eating disorder in those with DM2 has been estimated to be even more common. Despite this high occurrence, professionals who care for diabetics are frequently unable to identify the common signs and symptoms of disordered eating in their patients. The inability to recognize disordered eating is due in part to the frequent overlap with disordered eating behaviors and symptoms of diabetes. This talk provides a unique opportunity for professionals who care for those with all forms of diabetes to learn more about disordered eating and how it may present in their diabetic patients and negatively impact their prognosis. This EDRDPRO Webinar provides a unique opportunity for health care professionals of all disciplines in various settings to learn how to identify disordered eating and how best to address it once identified. The talk will include case studies of patients who presented with eating disorders that were undetected by their primary care providers and endocrinologists. Participants in this webinar will leave with a better understanding of the overlap between eating disorders and diabetes and how best to recognize and treat those struggling with both.
Medical Care in Patients with Eating Disorders: Not About the Weight
The tendency for the medical community and for society in general to focus on weight as a marker of wellness potentially harms everyone. Diet culture is particularly harmful for patients with both type 1 and type 2 diabetes who have concurrent eating disorders. Perfectionistic, "all-or-nothing" thinking with regards to numbers (weight and glucose) can contribute to worse eating disorder pathology AND diabetes outcomes. At the same time, diet culture and medical practitioner advice to lose weight can clearly exacerbate both mental and physical problems. This case-based workshop will review two different populations: those with type 1 diabetes and concurrent eating disorders, as well as those with type 2 diabetes and concurrent disordered eating or eating disorders. Aiming for “good enough” diabetic control and encouragement not to restrict foods best supports those with type 1 diabetes. A Health At Every Size® (HAES®) philosophy, with a weight-inclusive lens and firm rejection of diet culture and of checking body weights, yields remarkable outcomes for those with type 2 diabetes.
Nutritional and psychological treatment of disordered eating and diabetes: a 6-week eating class
This presentation will provide a theoretical and practical overview of Satter’s eating competence model as a promising weight neutral intervention for individuals with diabetes and disordered eating. Eating competence describes being positive, comfortable, and flexible with eating, in addition to being reliable about getting enough to eat. Its core treatment components include promoting a positive attitude about food, food acceptance skills, internal regulation skills, and food contextual skills. We will offer practical tools and strategies for how to apply elements of the eating competence model in the complex clinical arena of treating individuals with diabetes and comorbid disordered eating. We will also introduce specific clinical interventions that our team has piloted, which utilize components of the eating competence model for patients with loss of control eating and comorbid diabetes.
ED-DMT1 (Diabulimia) and Beyond: Nutrition for treatment and prevention of eating disorders in type 1 diabetes
Some 1.25 million Americans are living with type 1 diabetes (T1D), and rates of new-onset T1D are increasing worldwide. With the prevalence of ED behaviors as high as 40% among women with T1D, it is imperative that we do more to prevent, identify and treat eating disorders and disordered eating behaviors (DEBs) among those with T1D. While individuals with T1D are 2.4 times more likely to struggle with an eating disorder than those without diabetes, many diabetes care providers are either unaware of the signs and risk factors or feel unprepared to discuss disordered eating behaviors (DEBs) with their patients. Registered Dietitians, a key member of both the diabetes and ED care teams, often do not have experience in both conditions and commonly feel underprepared to identify and treat both the ED and T1D. This presentation will give an in-depth look into nutrition therapy for ED-DMT1 and provide practical recommendations for screening and prevention of disordered eating among the T1D population. It will also include valuable resources and talking points for those on the diabetes care team, including Registered Dietitians and Certified Diabetes Educators, who are interested in bringing a weight-neutral, compassionate approach to diabetes care in an effort to prevent DEB and EDs among the T1D population.