Anorexia nervosa in association with diabetes mellitus--a cognitive-behavioural approach to treatment

Behav Res Ther. 1989;27(1):95-9. doi: 10.1016/0005-7967(89)90125-3.


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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anorexia Nervosa / psychology
  • Anorexia Nervosa / therapy*
  • Behavior Therapy / methods*
  • Cognition*
  • Combined Modality Therapy
  • Diabetes Mellitus, Type 1 / psychology
  • Diabetes Mellitus, Type 1 / therapy*
  • Diet, Reducing / psychology
  • Female
  • Humans
  • Insulin / administration & dosage


  • Insulin