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Rosewood has the capabilities to treat patients with eating disorders and diabetes (EDDMT1) through its inpatient and residential programming in Arizona. Rosewood Ranch upholds the published standards including use of contemporary insulin regimens and appropriate specialty consultation. Patients obtain the skills to fully manage their own diabetes while providing for ultimate safety. This is accomplished with gradual step-ups in self-care as they demonstrate the ability to control their blood sugar and eating disorder symptoms. This provides them with the freedom of diet and lifestyle that is so necessary to successfully overcome their eating disorder. Rosewood also employs a Certified Diabetes Care and Education Specialist to help patients with diabetes learn optimal ways to take care of themselves and manage day-to-day challenges of living with diabetes. WHY IS IT IMPORTANT FOR AN EATING DISORDER TREATMENT PROGRAM, THAT TREATS DIABULIMIA (EDDMT1), TO HAVE A CERTIFIED DIABETES CARE AND EDUCATION SPECIALIST? Educators operate in many settings, including treatment centers and hospitals, and private practices. It’s important that they can assist with questions that arise outside of normal medical management. Some diabetes educators take their specialization further and are insulin pump educators as well, with a chosen primary focus on assisting clients with the set-up and use of systems. At Rosewood, a Certified Diabetes Care and Education Specialist helps through the following:
  • Assess patients knowledge about caring for their diabetes
  • Develop strategies for more effectively dealing with their diabetes from both a physical and sociocultural perspective.
  • Assist physician with insulin regimen changes
  • Educate patients on risks of poor control, testing, insulin dosing and pump use.
  • Works with patients on continuous glucose monitoring
WHAT IS CONTINUOUS GLUCOSE MONITORING FOR THOSE WITH EATING DISORDERS AND DIABULIMIA (EDDMT1) AND HOW DOES ROSEWOOD UTILIZE IT? Continuous Glucose Monitoring is a patch with needles the patient utilizes that connects via blue tooth to their phone. Through this the patch measures a patients blood glucose at regular intervals and informed them if their levels are going up or down. If it’s decreasing significantly it sounds an alarm. A Certified Diabetes Care and Education Specialist at Rosewood works with patients on the set-up and use of this system.
To learn more about Medical and Nursing care at Rosewood, click here.

DIABETES JOURNAL ARTICLE Monte Nido & Affiliates Vice President of Medical Services, Joel Jahraus, MD, FAED, CEDS has co-authored a journal article in Diabetes Journal article titled “Eating Disorders and Diabetes. ” Please click here to read more.


It can be difficult to understand what to look for in someone with diabulimia. According to the National Eating Disorders Association, signs and symptoms can include:

  • Increasing neglect or secrecy of diabetes management
  • Avoiding diabetes-related appointments
  • Thoughts that “insulin makes me fat”
  • Extreme increase or decrease in diet or increased anxiety about body image
  • Restricting certain food or food groups to lower insulin dosages
  • Avoids eating with or injecting in front of others
  • Elevated A1c on a continuous basis
  • A1c inconsistent with meter readings
  • Unexplained weight loss
  • Constant bouts of nausea and/or vomiting
  • Persistent thirst and frequent urination
  • Multiple DKA episodes