Prevention and remission of type 2 diabetes (SIGN)
Additional caution is recommended in conversations with those who have, have had, or are suspected of having, an eating disorder of any kind. Weight-loss attempts may be contraindicated and may exacerbate or maintain the condition.28 Prevalence of eating disorders in people living with overweight or obesity and in those at increased risk of, or with a diagnosis of, type 2 diabetes is unclear. Studies have shown that adults with binge eating disorder (BED) have a higher prevalence of type 2 diabetes.29 People with lived experience have reported that their diabetes was diagnosed prior to their eating disorder being formally diagnosed, despite having lived with an eating disorder for decades.30
People with both type 2 diabetes and an eating disorder are likely to need treatment for their eating disorder first, with the most appropriate service for this varying depending on local pathways in each health board. Weight-management services with specialist psychology resource can support treatment of binge eating difficulties, including BED, when this is picked up as part of the assessment process. However, there can often be a significant wait for an assessment. Consider local referral pathways, waiting times and the person’s preferences when deciding between a referral to weight-management services, eating disorder services or mental health services.