Fatima is a 17-year-old female with type 1 diabetes mellitus. Over the past year, she has missed several clinic visits, but she has been admitted to the emergency room on three different occasions for ketoacidosis. After looking through her medical chart, you notice that Fatima has lost about 10 pounds during the last year, and her height has not increased at all. You suspect that Fatima has diabulimia, a pattern of disordered eating in which _________blank.

Question

Multiple Choice

she takes too much insulin relative to the amount of food she consumes

she engages in repeated episodes of binge eating followed by compensatory behaviors to purge the excess calories

she engages in repetitive purging behaviors even in the absence of binge eating

she intentionally skips insulin doses to avoid weight gain

Answer 1

The correct answer is:

she intentionally skips insulin doses to avoid weight gain.

Diabulimia is a term used to describe the dangerous practice of individuals with diabetes intentionally omitting or taking less insulin to control their weight, leading to fluctuating glucose levels and potential complications such as diabetic ketoacidosis.