Background:

Co-morbid diabetes and eating disorders have a particularly high mortality, significant in numbers and highly dangerous in terms of impact on health and wellbeing. However, not much is known about the level of awareness, knowledge and confidence amongst healthcare professionals regarding co-morbid Type 1 Diabetes Mellitus (T1DM) and eating disorders.

Aim:

To understand the level of knowledge and confidence amongst healthcare professionals in Wales regarding co-morbid T1DM and eating disorder presentations, identification and treatment.

Results:

We conducted a survey of 102 Welsh clinicians in primary care, diabetes services and eating disorder services. 60.8% expressed low confidence in identification of co-morbid T1DM and eating disorders. Respondents reported fewer cases seen than would be expected. There was poor understanding of co-morbid T1DM and eating disorders: 44.6% identified weight loss as a main symptom, 78.4% used no screening instruments, and 80.3% consulted no relevant guidance. The respondents expressed an awareness of their lack of knowledge and the majority expressed willingness to accept training and education.

Conclusion:

We suggest that priority must be given to education and training of all healthcare professionals in primary care, diabetes services and mental health services who may see patients with co-morbid T1DM and eating disorders.

中文翻译：

---

识别和管理 1 型糖尿病患者的饮食失调：一项全威尔士研究

背景：

合并症糖尿病和饮食失调具有特别高的死亡率，数量显着并且在对健康和福祉的影响方面非常危险。然而，对于医疗保健专业人员对合并症 1 型糖尿病 (T1DM) 和饮食失调的认识、知识和信心水平知之甚少。

目标：

了解威尔士医疗保健专业人员对合并症 T1DM 和饮食失调表现、识别和治疗的知识和信心水平。

结果：

我们对初级保健、糖尿病服务和饮食失调服务的 102 名威尔士临床医生进行了调查。60.8% 的人对识别 T1DM 和饮食失调的共病表示低信心。受访者报告的病例少于预期。对合并症 T1DM 和饮食失调的了解不足：44.6% 将体重减轻视为主要症状，78.4% 未使用筛查工具，80.3% 未咨询相关指南。受访者表示意识到他们缺乏知识，大多数人表示愿意接受培训和教育。

结论：

我们建议必须优先对所有可能会诊治患有 T1DM 和饮食失调症患者的初级保健、糖尿病服务和心理健康服务的医疗保健专业人员进行教育和培训。