Insulin withholding for weight control in women with diabetes

Melanie M Biggs, Monica Ramirez Basco, Gayle Patterson, Philip Raskin

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

OBJECTIVE - To provide a description of the clinical characteristics that distinguish individuals who withhold insulin for weight control from those who do not. Some individuals with insulin-dependent diabetes mellitus (IDDM) control their weight by withholding insulin and purging excessive calories. This process places patients at risk for developing severe hyperglycemia, diabetic ketoacidosis, and increases the risk of long-term complications of diabetes. RESEARCH DESIGN AND METHODS - Forty-two women with IDDM, ages 16- 40, were interviewed and divided into two groups: insulin withholders (IWs) and non-insulin withholders (non-IWs). These groups were compared on physiological, behavioral, psychological, and psychiatric variables. RESULTS - Compared with non-IWs, patients who withheld insulin to control their weight exhibited poorer glycemic control, reported more negative attitudes toward diabetes, were more likely to have pathological scores on the Eating Disorder Inventory 2, and were more likely to report current or past symptoms of anorexia or bulimia nervosa. IWs were also more likely to report lying to physicians about their degree of compliance with their diabetes regimens. CONCLUSIONS - The results of this study indicated that IWs exhibit more symptoms associated with the spectrum of eating disorders than non-IWs. This study showed that insulin withholding for weight control not only exists, but is associated with some maladaptive symptoms and behaviors that need to be addressed by diabetes treatment teams.

Original languageEnglish (US)
Pages (from-to)1186-1189
Number of pages4
JournalDiabetes Care
Volume17
Issue number10
StatePublished - Oct 1994

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Insulin
Weights and Measures
Type 1 Diabetes Mellitus
Diabetic Ketoacidosis
Bulimia Nervosa
Anorexia Nervosa
Diabetes Complications
Hyperglycemia
Psychiatry
Research Design
Psychology
Physicians
Equipment and Supplies
Feeding and Eating Disorders
Therapeutics

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Insulin withholding for weight control in women with diabetes. / Biggs, Melanie M; Basco, Monica Ramirez; Patterson, Gayle; Raskin, Philip.

In: Diabetes Care, Vol. 17, No. 10, 10.1994, p. 1186-1189.

Research output: Contribution to journalArticle

Biggs, MM, Basco, MR, Patterson, G & Raskin, P 1994, 'Insulin withholding for weight control in women with diabetes', Diabetes Care, vol. 17, no. 10, pp. 1186-1189.
Biggs, Melanie M ; Basco, Monica Ramirez ; Patterson, Gayle ; Raskin, Philip. / Insulin withholding for weight control in women with diabetes. In: Diabetes Care. 1994 ; Vol. 17, No. 10. pp. 1186-1189.
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