There is an increased prevalence of disordered eating in individuals with type 1 diabetes (T1DE). This includes behaviours such as binging, over-exercise and laxative use, as well as intentional misuse of insulin (“Diabulimia”), a behaviour unique to those with type 1 diabetes (T1D). T1DE carries risk of long-term complications such as blindness and nerve damage, and mortality rates are significantly increased.

           Due to the dangers associated with T1DE, early identification and intervention are important. However, clinicians lack confidence and training in relation to the identification and management of T1DE. Furthermore, there is a lack of specialist services available. Part One of this portfolio presents a unique review of freely available webpages providing information and support for those with T1DE. The findings of the review suggest the webpages predominantly focus on information about Diabulimia and offer advice to individuals around speaking to those around them, including healthcare professionals, if they are experiencing difficulties. However, the webpages do not provide detailed information on other disordered eating behaviours and may be inaccessible due to their high reading levels and unclear action points.

           Part Two presents an empirical study exploring healthcare professionals’ attitudes to screening for disordered eating in individuals with T1D. The findings suggest healthcare professionals find these conversations difficult due to fears such as triggering behaviours by asking questions and concerns about how those with T1D may react. Furthermore, the lack of specialist services and clinicians’ perceptions of a lack of knowledge contributed to a reluctance to ask questions and to use screening measures with this population.