Hi, I had gone through your query and understood your concerns. Dear Sir/ Mam, Diabulimia refers to an eating disorder in which people with Type 1 diabetes deliberately give themselves less insulin than they need, for the purpose of weight loss. They learn that their body is dependent on insulin, and that insulin is an anabolic or storage hormone. While insulin keeps their muscle mass from breaking down, it also encourages fat storage. As a result, patients learn to manipulate their insulin - often skipping doses in an attempt to reduce weight gain. The term for this condition is Diabulimia. Patients can become quite savvy with this technique, taking just enough insulin to avoid going into diabetic ketoacidosis, and narrowly avoiding hospitalization. The repercussions of manipulating insulin in such a manner can be enormous. Patients who do this have higher blood sugar levels than are healthy, and as a result, become dehydrated, fatigued, and experience a breakdown in muscle tissue. In the long term, this condition is associated with an accelerated development of diabetic complications such as eye disease, kidney disease, and limb amputations due to vascular disease. If you see these patterns of behavior with you that are concerning, bring it to someone s attention. The long term damage that can occur can be profound, and early acknowledgement of the behavior along with early intervention can make a world of difference. Hope this guides you. Wishing you good health, Dr. Phanindra Dulipala. Diabetologist.