Oral Presentation ESA-SRB-APEG-NZSE 2022

Detecting unhealthy relationships with food in young people with diabetes (#159)

Carmel Smart 1
  1. John Hunter Childrens Hospital, Lambton Newcastle, NSW, Australia

Type 1 Diabetes (T1D) is associated with increased risk of eating disorders. International guidelines exist around screening for disordered eating in paediatric clinics; however research shows few clinics in Australia and New Zealand meet this recommendation. Key barriers include lack of the diabetes team confidence around use of tools and ongoing disordered eating management. This talk will share experiences around screening tools, including our preliminary development of a tool that incorporates diabetes technologies; and potential strategies diabetes teams can employ to support disordered eating management.   

The following will be discussed:

  • Our research reporting screening practices for disordered eating in paediatric Type 1 Diabetes (T1D) clinics in Australasia.
  • Results of our ongoing internationally collaborative study that aims to develop a tool with clinician assessed (including from T1D technologies), parent, and adolescent items that is brief enough for consistent use, highly sensitive and minimally suggestive.
  • Taking the next step: Potential strategies diabetes teams can use when disordered eating behaviours are detected in an adolescent.
  • Working with the Eating disorder team: Nutritional approaches that support disordered eating management at home
  • Practical aspects and key learnings from inpatient management of adolescents with T1D and ED at the John Hunter Children’s Hospital, Newcastle, Australia