Abstract:

Objective: It is proposed that individuals with a high risk of diabulimia and who do not comply with diabetic diet treatment have a high HbA1c value, which is an important indicator of metabolic control. In our study, it was aimed to determine the diet compliance status and diabulimia risk of adolescents with Type 1 diabetes and to examine their effects on HbA1c levels. Materials and Methods: Study was conducted with a total of 76 adolescents (54 girls and 22 boys) aged 9-18 with Type 1 diabetes. To the participants; the questionnaire, which included questions about general information, anthropometric measurements, nutritional status and diabulimia risk (Diabetes Eating Problem Survey-Revised) was applied online. The obtained data were analyzed with the SPSS 26.0 program. Results: In the study, 50% of individuals with HbA1c level 7 and below always, 25% sometimes and the rest never adhered to their diet. While half of individuals with HbA1c level of 9 and above did not follow their diabetic diet and the other half seldom did. A statistically significant negative correlation was found between diabetic diet adherence and HbA1c levels (p=0.039). The Diabetes Eating Problems Questionnaire mean scores were significantly higher (33.67±13.31) in the subjects with an HbA1c level of 9 and above than those with HbA1c levels of 8 and lower. Conclusion: Poor dietary compliance and high risk of diabulimia in adolescents with Type 1 diabetes is related with high HbA1c levels.

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