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A case of anorexia nervosa occurring in a patient with diabetes mellitus is reported. The patient was successfully managed using a cognitive-behavioural treatment approach. The presence of diabetes necessitated certain modifications to the standard cognitive-behavioural treatment for anorexia nervosa, including self-monitoring of diabetic regimen behaviours, attention to the adequacy of glycaemic control, and advice about changes in insulin dosage. Cognitive restructuring techniques also had to address diabetes-related thoughts. The general applicability and cost-effectiveness of this type of approach for the treatment of patients with co-existing eating disorders and diabetes is discussed.


Journal article


Behav Res Ther

Publication Date





95 - 99


Adult, Anorexia Nervosa, Behavior Therapy, Cognition, Combined Modality Therapy, Diabetes Mellitus, Type 1, Diet, Reducing, Female, Humans, Insulin