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Insulin-Related Disordered Eating Behavior: Clarifying Terminology
Amy Shelford1, Paul E Jenkins1, Kate Harvey1
1School of Psychology and Clinical Language Sciences, University of Reading, Whiteknights Campus, Reading, UK.
The International Journal of Eating Disorders
|September 17, 2025
Summary
Researchers identified 19 terms for insulin manipulation in type 1 diabetes disordered eating. "Insulin-related disordered eating behavior" is proposed as a consistent umbrella term for research and practice.
Area of Science:
- Endocrinology
- Psychiatry
- Behavioral Science
Background:
- Disordered eating behaviors involving insulin manipulation are prevalent in type 1 diabetes.
- Existing terminology is inconsistent, hindering research and clinical practice.
Purpose of the Study:
- To explore and analyze the diverse terminology used for insulin-related disordered eating behaviors in type 1 diabetes.
- To propose a consolidated and consistent term for this condition.
Main Methods:
- A scoping review methodology was employed.
- Analysis of terms from 201 primary and secondary sources.
Main Results:
- Nineteen distinct terms were identified across the literature.
- Eleven terms specifically addressed insulin restriction, with motivations often undefined.
- A wide range of terminology exists for insulin manipulation in type 1 diabetes.
Conclusions:
- "Insulin-related disordered eating behavior" is proposed as an umbrella term.
- Consistent terminology will harmonize knowledge, guide research, and inform clinical practice.
- Standardized terms will improve visibility and integration of evidence into care pathways.
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