DIABETES AND EATING DISORDER CARE
Diabulimia, when insulin gets restricted or skipped to affect weight, is one of the most dangerous and least understood eating disorders in type 1 diabetes. We’re dietitians certified in both diabetes and eating disorder care, based in Austin, working with clients across Texas by secure video. If this is you, or someone you love, you’re in the right place.
Diabulimia Dietitians in Austin, TX
No commitment. Just a conversation about what’s going on.
REGISTERED DIETITIANS • CERTIFIED DIABETES CARE AND EDUCATION SPECIALISTS (CDCES) • CERTIFIED EATING DISORDER SPECIALISTS (CEDS) • THE RARE PROVIDERS TRAINED IN BOTH SIDES OF DIABULIMIA
A short word on what diabulimia is.
Diabulimia (clinically, ED-DMT1) is the use of insulin restriction to affect weight in someone with type 1 diabetes. It sits at the exact overlap of a metabolic condition and an eating disorder, which is why standard diabetes advice and standard eating disorder advice both tend to miss it. It is serious, it is treatable, and it is not a failure of willpower.
Does this sound like you, or someone you love?
People rarely arrive with the word "diabulimia." They arrive frightened, exhausted, and unsure who to tell. If any of this lands, reaching out is reasonable, not an overreaction.
The diabetes and the eating have become tangled together and you can’t pull them apart.
Your care team doesn’t know the whole picture of what’s happening with food and insulin.
You’ve been in the ER for DKA and no one asked about eating.
You want to stop but you don’t know who understands both the diabetes and the disorder.
You don’t have to have the right words for it.
We do, and we’ll take it from there.
Care that treats both conditions at once
Recovery from diabulimia can’t come at the cost of diabetes management, and diabetes management can’t come at the cost of recovery. We hold both. Care is weight-inclusive, trauma-informed, and paced to what feels safe, with no meal plan handed over at the door.
A dietitian who understands insulin, blood sugar and disordered eating as one picture
Close coordination with your endocrinologist and therapist, because diabulimia is treated by a team, not alone
A weight-inclusive, non-shaming approach, because shame is part of what keeps this going
Support at whatever stage you’re at, whether you’re ready to change today or just ready to talk
Based in Austin, available across Texas
We’re based in Austin and licensed across Texas, so you can work with a diabulimia specialist by secure video from anywhere in the state: Austin, Houston, Dallas, San Antonio and beyond. For a specialty this rare, virtual care isn’t a compromise; it’s often the only way to reach the right person at all.
Private-pay, with out-of-network support
Private-pay, so this care gets the time and coordination it needs. Superbill provided for possible out-of-network reimbursement, plus a ready-made insurance script.
If you need support right now
If you or someone you love is in medical danger, with signs of DKA or thoughts of self-harm, this page isn’t the fastest help. Please reach out immediately:
Emergency: call 911, or go to your nearest emergency room.
988 Suicide & Crisis Lifeline: call or text 988.
Questions people ask us about diabulimia care
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Yes. It’s serious, but people recover, especially with a dietitian who understands both the diabetes and the eating disorder and works alongside your medical team. The earlier care starts, the better.
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Most providers are trained in one side. Our dietitians hold credentials in both, CDCES and CEDS, so nothing gets treated in isolation and neither condition is made worse to help the other.
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No. A lot of people start when they’re only ready to talk. The free 15-minute consult is a low-pressure first step, not a commitment to anything.
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Yes, anywhere in Texas, and 30+ states through the wider practice. Care is fully virtual.
You don’t have to hold both conditions alone
Diabulimia is frightening, and it is treatable, and you don’t need the right words to start.
A free 15-minute consult with a specialist who understands all of it is the first step.
No commitment. Just a conversation about what’s going on.