From the author: For the first time I came across the term in the program of one of the foreign conferences on eating disorders and thought - what is this new star in the constellation of eating disorders, which is seemingly well-known far and wide? What other new news? As it turns out, the phenomenon is being actively studied; there are foreign publications, studies and articles. Most people have heard of anorexia, bulimia, and even seizure disorder, but few find a connection between eating disorders and type 1 diabetes. The term diabulimia (also used as ED-DMT1) is an eating disorder in which people with type 1 diabetes deliberately restrict themselves from insulin in order to lose weight. Injecting insulin helps people with type 1 diabetes absorb glucose, which can either be converted into energy or stored as fat. When insulin is stopped, the body excretes glucose in urine. Instead, it consumes energy by breaking down stored fat in the body, leading to weight loss. But it also has serious health consequences and can be life-threatening. Without insulin, people with type 1 diabetes can experience anything from exhaustion and nausea to diabetic ketoacidosis, coma and even death. Despite its notoriety in the diabetes and eating disorder communities, diabulimia is not technically a mental disorder like anorexia or bulimia. Doctors prefer not to know what to do about it or what it is. As a result, diabulimia often goes away without diagnosis or treatment. “Because people with diabulimia are just a small population within a small population,” says Erin Akers, CEO of Diabulimia Helpline, “nobody talks about it and nobody really cares.” Diabulimia is not as well known as other eating disorders because it affects a relatively small community of people. The main problem is the lack of awareness, both among patients and medical professionals, of what it is. What to do and where to run? And is it possible to recover completely? It is possible and necessary, although it takes quite a lot of time and effort. It is clear that if there is exhaustion of the body or a mental crisis, clinical depression, medical care in a hospital is necessary. In the future, supportive psychotherapy is needed, preferably individual in combination with group therapy. Unfortunately, we do not yet have such powerful organizations ready to provide comprehensive assistance as NEDA (National Eating Disorders Association) or the American Anorexia Bulimia Association (AABA), but more and more specialists are working efficiently with eating disorders. I would like to believe that in the near future there will be more of them and more specialized centers will appear. If the material was useful, please like it :)