In episode 70 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians. Mental health professional, Kristi Paguio and registered dietitian, Dana Roseman unpack the complex relationship of food, insulin, and cultural pressures that can exacerbate disordered eating patterns.

They share their own experiences as women living with type 1 diabetes and provide strategies for improving your relationship with food, your body, and your insulin.

Kristi Paguio LMSW, LCSW, CDCES is a Mental Health Specialist. She has been working in the field of diabetes since 2007 as a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has had the privilege of working with people across the lifespan who are impacted by diabetes. She has experience working with adults, children, athletes, pregnancy, and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time.

Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems.

 ✔️Disordered eating is a broad term that encompasses various unhealthy food relationships.

✔️ Cultural pressures can lead to unhealthy eating behaviors and perceptions of food.

✔️ Food should be viewed as a source of joy and connection, not just a means to manage diabetes.

✔️Normalize healthy eating for the entire family.

00:40 Welcome and introduction

03:12 What constitutes disordered eating?

06:25 Cultural influences vs the needs of a healthy body

09:24 The “Food Police”

11:46 All foods fit in your diet

13:51 Helping someone experiencing disordered eating

18:05 Restriction vs Indulgence. Finding the middle ground when it comes to food.

20:33 The impact of judgement when you have diabetes

23:06 Why disordered eating is more common when living with diabetes

24:00 Seeking help for disordered eating with diabetes

If you are seeking a team to assist you with issues surrounding disordered eating and your diabetes, Integrated Diabetes Services has a full team of professionals who are Certified Diabetes Care and Education Specialists who live with type 1 diabetes. They can help with all aspects of your self-care. Call 1 (610) 642-6055 or email [email protected] to schedule an appointment.

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Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.