Introduction:

The clinical behavior of type 1 diabetes mellitus and the therapeutic approach to eating disorders become more complex when they coincide in the same person.

Objective:

To describe some aspects of the clinical behavior and therapeutic approach of eating disorders in people with type 1 diabetes mellitus.

Methods:

A search of relevant literature on the subject was carried out in the first semester of 2019. We used, as search engines for scientific information, Pubmed and Google Scholar. As initial eligibility criteria, we evaluated review articles, research articles, and web pages which, in general, were published less than 10 years ago, in Spanish, Portuguese and English, and which made, in their titles, specific reference to the topic of the study. Articles that did not meet these conditions were excluded. This allowed the study of 65 articles, of which 33 were referenced.

Conclusions:

The clinical behavior of eating disorders in patients with type 1 diabetes mellitus combines symptoms and signs typical of both conditions. Both nosological entities must be prevented, screened, diagnosed and intervened, starting in primary health care services, through an interdisciplinary perspective. Endocrinological treatment, together with individual therapy, eating disorders-related psychoeducation, family therapy, and a comprehensive treatment plan for mental health are essential, starting in the first level of care.

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