Voices from Lived Experiences: A Qualitative Study Exploring Perceived Barriers and Facilitators to Treatment of Binge Eating Disorder and Diabetes
Research suggests that the co-occurrence of binge eating disorder and type 2 diabetes is substantial, yet managing the recommendations for both diagnoses can be challenging. Clients often struggle to prioritize what may appear as conflicting advice from different healthcare providers, risking negative health outcomes. Our presentation introduces qualitative findings from a retrospective mixed-methods study involving interviews conducted in a treated population. Themes that identified salient treatment barriers and facilitators included: 1) trends in the temporal order of disease onset, diagnosis, and treatment; 2) complex interactions between type 2 diabetes and binge eating disorder that influenced eating behaviors; 3) patient experiences with food and weight prescription; and 4) challenges encountered with treatment philosophies. The unique perspectives of the lived experience inform dietitians’ ability to provide evidence-based, comprehensive and compassionate care for clients with these dual diagnoses.
- Describe and discuss the complexities and challenges of the co-occurrence of type 2 diabetes and binge eating disorder that pose unique barriers to effective treatment and require informed strategies to overcome.
- Identify strategies to incorporate into MNT and counseling practices to facilitate conversations and support improved treatment utilization.
- Explain the interaction between binge eating disorder and type 2 diabetes and the related nutrition and behavioral health implications.
- 10.2.4 Integrates foundational dietetics knowledge with critical appraisal of assessment data to diagnose nutrition problems (using problem solving, etiology, signs and symptoms [PES] statements), which can be resolved or improved through treatment
- 10.2.7 Prioritizes specific nutrition problem(s).
- 8.1.5 Applies medical nutrition therapy in disease prevention and management.
Katie Gustamachio, RDN, LDN, MEd
Walden Behavioral Care
Paula Quatromoni, DSc, RDN
Associate Professor and Chair, Department of Health Sciences, Programs in Nutrition
Meg Salvia, MS, RDN, CDCES, CEDRD-S