Research suggests that as many as 60% of people with type 1 diabetes (T1D) admit to misusing insulin. Insulin omission (IO) for the purpose of weight loss, often referred to as diabulimia, is a behaviour becoming increasingly recognised, not least since prolonged engagement can lead to serious vascular complications and mortality. Several risk factors appear to be relevant to the development of IO, most notably gender, anxiety and depression and increased weight concerns and body dissatisfaction. Evidence suggests that women, especially young girls, are more likely to omit insulin as a method of weight loss compared to men. Mental health conditions such as anxiety and depression are increasingly prevalent in people with T1D compared to their peers, and appear to contribute to the risk of IO. Increased weight concerns and body dissatisfaction are further prominent risk factors, especially given increases in weight which often occur following diagnosis and the monitoring of weight by diabetes teams. This review presents evidence examining these risk factors which increase the likelihood of a person with T1D engaging in IO and highlights the complications associated with prolongment of the behaviour. Further research looking at the comorbidities of these risk factors, alongside other factors, would provide greater insight into understanding IO in people with T1D.

研究表明，多达 60% 的 1 型糖尿病 (T1D) 患者承认滥用胰岛素。以减肥为目的的胰岛素省略 (IO)，通常被称为糖尿病，是一种越来越被认可的行为，尤其是因为长期使用胰岛素会导致严重的血管并发症和死亡率。几个风险因素似乎与 IO 的发展有关，最显着的是性别、焦虑和抑郁以及增加的体重问题和对身体的不满。有证据表明，与男性相比，女性，尤其是年轻女孩，更有可能不使用胰岛素作为减肥方法。与同龄人相比，焦虑和抑郁等心理健康状况在 T1D 患者中越来越普遍，并且似乎会增加 IO 的风险。体重增加的担忧和对身体的不满是进一步突出的风险因素，特别是考虑到体重增加通常在糖尿病团队诊断和监测体重后发生。本综述提供了检查这些风险因素的证据，这些因素增加了 T1D 患者进行 IO 的可能性，并强调了与行为延长相关的并发症。进一步研究这些风险因素以及其他因素的合并症，将为了解 T1D 患者的 IO 提供更深入的见解。本综述提供了检查这些风险因素的证据，这些因素增加了 T1D 患者进行 IO 的可能性，并强调了与行为延长相关的并发症。进一步研究这些风险因素的合并症以及其他因素，将为了解 T1D 患者的 IO 提供更深入的见解。本综述提供了检查这些风险因素的证据，这些因素增加了 T1D 患者进行 IO 的可能性，并强调了与行为延长相关的并发症。进一步研究这些风险因素以及其他因素的合并症，将为了解 T1D 患者的 IO 提供更深入的见解。