Disordered eating behaviors in people with type 1 diabetes mellitus: a scoping review.

OBJECTIVE: To map disordered eating behaviors in people with Type 1 Diabetes Mellitus using the instrument Diabetes Eating Problem Survey-Revised (DEPS-R). METHOD: This is a scoping review, guided by JBI and in accordance with the PRISMA ScR recommendation. Four sources of information and grey literature were consulted. The search took place in January 2024. For the analysis of Similarity and Word Cloud, the software IRaMuTeQ was used. The interpretation of lexical analysis was based on the Theory of Social Representations. RESULTS: The 21 articles selected describe the prevalence of disordered eating behaviors, with emphasis on insulin omission, binge eating, and dietary restriction. Body image, depressive symptoms, high HbA1c levels, and the presence of complications resulting from early high blood glucose levels are also related to disordered eating behaviors. The use of the DEPS-R instrument proved to be effective in detecting these behaviors. CONCLUSION: The results support the hypothesis that disordered eating behaviors are not just eating disorders in the traditional sense, but reflect dysfunctional coping strategies for chronic illness, often as attempts to control body weight or for emotional relief. Analytical studies on interdisciplinary clinical approaches using the DEPS-R instrument are fundamental to understanding the complexity of disordered eating behaviors.