<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-2953</journal-id>
<journal-title><![CDATA[Revista Cubana de Endocrinología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Endocrinol]]></abbrev-journal-title>
<issn>1561-2953</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-29532020000100010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hacia un definición y consenso del término &#8220;diabulimia&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA[Toward a definition and consensus of the term "diabulimia"]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Rodríguez]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ledón Llanes]]></surname>
<given-names><![CDATA[Loraine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Endocrinología  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y de la Nutrición Salvador Zubirán Departamento de Biología de la Reproducción ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>31</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-29532020000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-29532020000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-29532020000100010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El vocablo &#8220;diabulimia&#8221; resulta de la combinación de dos palabras, diabetes mellitus y bulimia. Una de las características de los pacientes afectados es la restricción deliberada de insulina, con el objetivo de controlar el peso corporal.  Objetivo:  Describir la definición y consenso actual acerca del término diabulimia. Métodos: Se realizó una búsqueda de la literatura relevante sobre el tema. Se utilizaron como buscadores de información científica a Pubmed y a Google Académico. Como criterios de elegibilidad, se evaluaron artículos de revisión, de investigación y páginas Web que, en general, tenían menos de 10 años de publicados, en idioma español, portugués e inglés, que hicieran referencia específicamente al tema de estudio, y que abordaran la temática a través de cualquier metodología de investigación (cuantitativa, cualitativa, investigación operativa, otras). Fueron excluidos los artículos que no cumplieron con estas condiciones. Esto permitió el estudio de 33 artículos, de los cuales 20 son referenciados en el presente artículo.  Conclusiones:  La descripción del vocablo diabulimia genera retos importantes. Existen diferentes definiciones, lo cual tiende a confundir a los pacientes e inclusive a los profesionales de la salud. En la actualidad, aun no se ha logrado consensar esta definición, por lo cual continuará siendo un término coloquial y no será reconocido oficialmente como una enfermedad. Reconocer la relevancia del tema y poder identificar indicadores de su presencia es importante, pues su padecimiento expone a los pacientes con diabetes mellitus a efectos deletéreos sobre su salud y calidad de vida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The term "diabulimia" results from the combination of two words: diabetes mellitus and bulimia. One of the characteristics of the patients affected is the deliberate restriction of insulin with the aim of controlling body weight.  Objective:  To describe the definition and current consensus on the term diabulimia.  Methods:  It was carried out a search of important literature on the subject. There were used as search engines of scientific information Pubmed and Google Scholar. As eligibility criteria, there were assessed review articles, research and web pages that, in general, were less than 10 years of been published, in Spanish, Portuguese and English languages, which would make specific reference to the studied topic, and that would address the issue through any research methodology (quantitative, qualitative, operations research, others). There were excluded the articles that did not comply with these conditions. This allowed the study of 33 articles, of which 20 are referenced in this article.  Conclusions:  The description of the term diabulimia generates significant challenges. There are different definitions, which tends to confuse patients and even health professionals. At present, it has not been possible to achieve a consensus on this definition that is why it will continue to be a slang term and will not be officially recognized as a disease. It is important to admit the relevance of diabulimia and to be able to identify indicators of its presence, since this condition exposes patients with diabetes mellitus to deleterious effects on their health and quality of life.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trastornos de la conducta alimentaria]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="es"><![CDATA[diabulimia]]></kwd>
<kwd lng="es"><![CDATA[omisión/restricción/mal uso de insulina]]></kwd>
<kwd lng="es"><![CDATA[bulimia]]></kwd>
<kwd lng="en"><![CDATA[eating disorders]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[diabulimia]]></kwd>
<kwd lng="en"><![CDATA[omission/ restriction /misuse of insulin]]></kwd>
<kwd lng="en"><![CDATA[bulimia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nip]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Reboussin]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Dabelea]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Bellatorre]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mayer-Davis]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kahkoska]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disordered eating behaviors in youth and young adults with type 1 or type 2 diabetes receiving insulin therapy The SEARCH for Diabetes in Youth Study. Diabetes Care]]></article-title>
<source><![CDATA[March]]></source>
<year>2019</year>
<volume>12</volume>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Paoli]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Rogers]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disordered eating and insulin restriction in type 1 diabetes A systematic review and testable model]]></article-title>
<source><![CDATA[Eat Disord]]></source>
<year>2018</year>
<volume>26</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>343-60</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kinik]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Gönüllü]]></surname>
<given-names><![CDATA[FV]]></given-names>
</name>
<name>
<surname><![CDATA[Vatansever]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Karakaya]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabulimia, a Type I diabetes mellitus-specific eating disorder]]></article-title>
<source><![CDATA[Turkish Archives of Pediatrics/Türk Pediatri Arsivi]]></source>
<year>2017</year>
<volume>52</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>46-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruth-Sahd]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Haagen]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabulimia What it is and how to recognize it in critical care]]></article-title>
<source><![CDATA[Dimens Crit Care Nurs]]></source>
<year>2009</year>
<volume>28</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>147-53</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Markowitz]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Alleyn]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Phillips]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Muir]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Young-Hyman]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Laffel]]></surname>
<given-names><![CDATA[LMB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disordered eating behaviors in youth with type 1 diabetes Prospective pilot assessment following initiation of insulin pump therapy]]></article-title>
<source><![CDATA[Diabetes Technology &amp; amp; Therapeutics]]></source>
<year>2013</year>
<volume>15</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>428-33</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grassi]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Tapia]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Aracena]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Astudillo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Kara]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Aliste]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Características clínicas, esquemas de tratamiento, grado de control y variables asociadas a este en una cohorte de adultos con diabetes mellitus tipo 1 en un centro terciario]]></article-title>
<source><![CDATA[Revista médica de Chile]]></source>
<year>2019</year>
<volume>147</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>451-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Davidson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabulimia how eating disorders can affect adolescents with diabetes]]></article-title>
<source><![CDATA[Nurs Stand]]></source>
<year>2014</year>
<volume>29</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>44-9</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<collab>American Diabetes Association</collab>
<article-title xml:lang=""><![CDATA[Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes-2018]]></article-title>
<source><![CDATA[Diabetes Care]]></source>
<year>2018</year>
<volume>41</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>S73-85</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Orlandi]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manual para el diagnóstico y tratamiento del paciente diabético a nivel primario de salud]]></article-title>
<source><![CDATA[Revista Cubana de Medicina General Integral]]></source>
<year>2017</year>
<volume>36</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<collab>American Psychiatric Association</collab>
<source><![CDATA[Diagnostic and statistical manual of mental disorders]]></source>
<year>2013</year>
<edition>5</edition>
<publisher-loc><![CDATA[VA ]]></publisher-loc>
<publisher-name><![CDATA[American Psychiatric Publishing]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Juruc]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kubiak]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Wierusz-Wysocka]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychological and medical problems in prevention and treatment of eating disorders among people with type 1 diabetes]]></article-title>
<source><![CDATA[Clinical Diabetology]]></source>
<year>2016</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>26-31</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Falcão]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Francisco]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabetes, eating disorders and body image in young adults an exploratory study about "diabulimia". Eating and Weight Disorders-Studies]]></article-title>
<source><![CDATA[Anorexia, Bulimia and Obesity]]></source>
<year>2017</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>675-82</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chelvanayagam]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[James]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[What is diabulimia and what are the implications for practice]]></article-title>
<source><![CDATA[Br J Nurs]]></source>
<year>2018</year>
<volume>27</volume>
<numero>17</numero>
<issue>17</issue>
<page-range>980-6</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torjesen]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabulimia: the world's most dangerous eating disorder]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>2019</year>
<volume>364</volume>
<page-range>l982-3</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leith]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
<name>
<surname><![CDATA[Sujay]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabulimia an easily missed diagnosis?]]></article-title>
<source><![CDATA[British Journal of Diabetes]]></source>
<year>2018</year>
<volume>18</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>167-70</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Young-Hyman]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disordered eating behavior in individuals with diabetes importance of context, evaluation, and classification]]></article-title>
<source><![CDATA[Diabetes Care]]></source>
<year>2010</year>
<volume>33</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>683-9</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Merwin]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Dmitrieva]]></surname>
<given-names><![CDATA[NO]]></given-names>
</name>
<name>
<surname><![CDATA[Honeycutt]]></surname>
<given-names><![CDATA[LK]]></given-names>
</name>
<name>
<surname><![CDATA[Moskovich]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Lane]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Zucker]]></surname>
<given-names><![CDATA[NL]]></given-names>
</name>
<name>
<surname><![CDATA[Surwit]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Feinglos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kuo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Momentary predictors of insulin restriction among adults with type 1 diabetes and eating disorder symptomatology]]></article-title>
<source><![CDATA[Diabetes Care]]></source>
<year>2015</year>
<volume>38</volume>
<page-range>2025-32</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wisting]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Dh]]></surname>
<given-names><![CDATA[Froisland]]></given-names>
</name>
<name>
<surname><![CDATA[Skrivarhaug]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Dahl-Jorgensen]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Ro]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disturbed eating behavior and omission of insulin in adolescents receiving intensified insulin treatment]]></article-title>
<source><![CDATA[Diabetes Care]]></source>
<year>2013</year>
<volume>36</volume>
<page-range>3382-7</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hasken]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kresl]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Nydegger]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Temmed]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabulimia and the role of school health personnel]]></article-title>
<source><![CDATA[Journal of School Health]]></source>
<year>2010</year>
<volume>80</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>465-9</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hastings]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[McNamara]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Allan]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Marriott]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The importance of social identities in the management of and recovery from 'Diabulimia' A qualitative exploration]]></article-title>
<source><![CDATA[Addictive Behaviors Reports]]></source>
<year>2016</year>
<volume>4</volume>
<page-range>78-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
