The Role of Disordered Eating in Type 2 Diabetes: A Pilot Study

Alyssa M. Vela*, Brooke Palmer, Virginia Gil-Rivas, Fary Cachelin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Rates of type 2 diabetes mellitus continue to rise around the world, largely due to lifestyle factors such as poor diet, overeating, and lack of physical activity. Diet and eating is often the most challenging aspect of management and, when disordered, has been associated with increased risk for diabetes-related complications. Thus, there is a clear need for accessible and evidence-based interventions that address the complex lifestyle behaviors that influence diabetes management. The current study sought to assess the efficacy and acceptability of a pilot lifestyle intervention for women with type 2 diabetes and disordered eating. The intervention followed a cognitive behavioral therapy guided-self-help (CBTgsh) model and included several pillars of lifestyle medicine, including: diet, exercise, stress, and relationships. Ten women completed the 12-week intervention that provided social support, encouraged physical activity, and addressed eating behaviors and cognitions. Results indicate the lifestyle intervention was a feasible treatment for disordered eating behaviors among women with type 2 diabetes and was also associated with improved diabetes-related quality of life. The intervention was also acceptable to participants who reported satisfaction with the program. The current CBTgsh lifestyle intervention is a promising treatment option to reduce disordered eating and improve diabetes management.

Original languageEnglish (US)
Pages (from-to)131-139
Number of pages9
JournalAmerican Journal of Lifestyle Medicine
Issue number1
StatePublished - Jan 1 2023


  • disordered eating
  • lifestyle
  • mental health
  • overweight
  • type 2 diabetes mellitus

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Medicine (miscellaneous)


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