Type 1 diabetes

Eating disorders among people with and without type 1 diabetes: incidence and treatment in a nationwide population-based cohort

DiabetologiaPublished Nationwide population-based matched cohort study

Main finding · Incident eating disordersResult — go to the resultAdjusted incidence rate ratio 2.35 95% CI 1.80–3.09

Authors' conclusion

People with type 1 diabetes are more likely to be diagnosed with eating disorders than their diabetes-free peers. However, they receive less outpatient hospital treatment for their eating disorders despite their greater risk for major adverse health outcomes. These findings emphasise the need for targeted eating disorder treatment for people with type 1 diabetes.

Study context

Population
Individuals aged <30 diagnosed with T1D in 1998–2010 and matched diabetes-free controls, nationwide samplematched cohort
Participants
11,055 vs 11,055
Exposure
T1D vs diabetes-free controls
  • T1Dn = 11,055
  • Controlsn = 11,055reference
Outcome
Incidence of eating disorders from hospital records
Follow-up
Mean 13.1 years
Methodological detailsmatched for age, sex and hospital district, Poisson regression
  • Matched for age, sex and hospital district
  • Poisson regression

Main finding

Incident eating disorders

Adjusted incidence rate ratio

2.35

95% CI 1.80–3.09

Events by group

T1D

175

events

Controls

75

events

T1Dvs Controls
adjusted IRR 2.35 (95% CI 1.80–3.09)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeT1DControlsAdjusted difference (outpatient care visits per year) (95% CI)
Outpatient hospital care visits for eating disorder per year (eating disorder patients)mean 3.32 outpatient care visits per yearmean 5.33 outpatient care visits per year1.24 (0.39–2.08)

New psychotropic medication prescriptions (eating disorder patients)

Similar among eating disorder patients with and without T1D

Original publication

Eating disorders among people with and without type 1 diabetes: incidence and treatment in a nationwide population-based cohort. Diabetologia. Published 4 January 2025. doi:10.1007/s00125-024-06346-7

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.