No association between carbohydrate-counting knowledge and disordered eating behaviors in adults with type 1 diabetes - 23/01/26
, Melissa Ferguene b, Béatrice Genoux c, Lucien Marchand d, Hélène du Boullay e, Sandrine Lablanche f, Céline Vermorel a, Aurélie Gauchet g, Jean-Luc Bosson h, Cécile Bétry iAbstract |
Aims |
Carbohydrate counting enables flexible prandial insulin dosing in type 1 diabetes but remains cognitively demanding. Concerns persist that such sustained attention to food may contribute to disordered eating behaviors. The primary aim of this study was to examine whether carbohydrate-counting knowledge is associated with disordered eating behaviors.
Methods |
This cross-sectional study (NCT07021456) was conducted online. Participants completed questionnaires assessing carbohydrate-counting knowledge (Gluciquizz), disordered eating behaviors (DEPS-R), and likely eating disorders (SCOFF-F). Additional questionnaires evaluated quality of life (ADDQoL), diabetes-related distress (PAID-5), and fear of hypoglycemia (HFS-II short form). Elevated DEPS-R was defined as a score ≥ 20, and likely eating disorders as SCOFF-F ≥ 2.
Results |
A total of 100 adults with type 1 diabetes were included. No correlation was observed between Gluciquizz and DEPS-R (ρ = −0.03, 95% CI (−0.23 to 0.17), P = 0.73). Similarly, Gluciquizz scores did not differ between participants with SCOFF-F < 2 and ≥ 2 (P = 0.745). Diabetes-related distress was significantly higher among participants with elevated DEPS-R scores (PAID-5 median 15 vs 8; P = 0.006), whereas ADDQoL and HFS-II did not differ significantly.
Conclusion |
In this selected adult population with type 1 diabetes, carbohydrate-counting knowledge was not associated with disordered eating behaviors. However, positive DEB screening was linked with higher diabetes-related distress, supporting the importance of psychosocial assessment.
Le texte complet de cet article est disponible en PDF.Keywords : Carbohydrate counting, Disordered eating behaviors, Eating behavior, Intensive insulin therapy, Type 1 diabetes
Plan
Vol 52 - N° 2
Article 101735- mars 2026 Retour au numéro
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