Eating · Medical Co-Management
Diabulimia — Insulin & Behaviors Log
Joint endocrine + ED tracking with DKA warning signs
Diabulimia — restricting or omitting insulin in Type 1 diabetes to lose weight — has one of the highest mortality rates in psychiatric medicine. Treatment requires a joint endocrine + ED team. This log is for use with that team: it tracks insulin, glucose, ED behaviors, and DKA warning signs in one place.
Endocrinology provider (initials only)
ED clinician / dietitian
Daily log
Time
Glucose
Insulin given (units)
Meal / intake
Omitted / reduced?
Symptoms
DKA warning signs (call the endocrinologist / ER immediately)
- Persistent glucose > 250 mg/dL
- Nausea, vomiting, abdominal pain
- Deep rapid breathing / fruity breath
- Confusion, extreme fatigue, unresponsiveness
- Ketones in urine or blood
Support person who knows and can call for help
Agreement I have with my team about insulin honesty
This is a medical emergency category
Insulin omission for weight loss is not something to work on alone. It requires simultaneous endocrine care, ED treatment, and a support person who knows the DKA signs. Use this log with the team, not instead of the team.