Binge Eating in Overweight and Obese Individuals with Type 2 Diabetes

  • Amy A. Gorin
  • Heather M. Niemeier
  • Anna Schierberl Scherr


Binge eating, characterized by a loss of control over eating leading to overconsumption, is common among overweight and obese adults, particularly in individuals seeking weight-loss treatment. It is associated with elevated risk of depression, personality disorders, and issues with self-esteem and body image. Because binge eating is associated with excessive weight, it may increase the risk of obesity-related comorbidities including type 2 diabetes. Overweight and obese individuals with type 2 diabetes who binge eat tend to report worse physical health than their non-binge eating peers; however, there is conflicting evidence regarding whether binge eating negatively impacts glycemic control. There is also some disagreement about how best to treat binge eating in overweight and obese patients, with concerns raised that binge eating is a contraindication for weight-loss treatment. In overweight and obese individuals with type 2 diabetes, recent evidence suggests that binge eating is not exacerbated by behavioral weight-loss treatment and may in fact be improved by participating in a structured weight-loss program. Binge eating appears to interfere with the weight-loss process only in the small minority of individuals who start binge eating, or continue to binge eat, during treatment. Thus, the research available to date suggests that regardless of diabetes status, overweight and obese individuals who binge eat are appropriate candidates for behavioral weight-loss treatment and will likely experience a decrease in binge eating behavior, a reduction in body weight, and an assortment of additional health benefits as a result of participating in a program targeting lifestyle change.


Obese Individual Binge Eating Binge Eating Disorder Diabetes Prevention Program Intentional Weight Loss 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Non-insulin-dependent diabetes mellitus


Binge eating disorder


Glycosylated hemoglobin


National Institutes of Health


Diagnostic and Statistical Manual of Mental Disorders, 4th Edition


  1. Agras WS, Telch CF, Arnow BA, Eldredge K, Wilfley DE, Raeburn SD, Henderson J, Marnell M. Behav Ther. 1994;25:209–38.CrossRefGoogle Scholar
  2. Allison KC, Crow SJ, Reeves RR, West DS, Foreyt JP, DiLillo VG, Wadden TA, Jeffery RW, Van Dorsten B, Stunkard AJ. Obesity 2007;15:1287–93.PubMedCrossRefGoogle Scholar
  3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: Author; 1994.Google Scholar
  4. Butryn ML, Wadden TA. Int J Eat Disord. 2005;37:285–93.PubMedCrossRefGoogle Scholar
  5. Castellini G, Lapi F, Ravaldi C, Vannacci A, Rotella CM, Faravelli C, Ricca V. Compr Psychiatry. 2008;49:359–63.PubMedCrossRefGoogle Scholar
  6. Cremonini F, Camilleri M, Clark MM, Beebe TJ, Locke GR, Zinsmeister AR, Herrick LM, Talley NJ. Int J Obes. 2009;33:342–53.CrossRefGoogle Scholar
  7. Crow S, Kendall D, Praus B, Thuras P. Int J Eat Disord. 2001;30:222–6.PubMedCrossRefGoogle Scholar
  8. DeAngelis T. Monit on Psych. 2002;33.Google Scholar
  9. De Freitas SR, Appolinario JC, Souza ADM, Sichieri R. Int J Eat Disord. 2008;41:471–8.PubMedCrossRefGoogle Scholar
  10. Delinsky SS, Latner JD, Wilson GT. Obesity 2006;14:1244–9.PubMedCrossRefGoogle Scholar
  11. de Zwaan M. Int J Obes. 2001;25:S51–5.CrossRefGoogle Scholar
  12. Diabetes Prevention Program Research Group. N Engl J Med. 2002;346:393–403.Google Scholar
  13. Dingemans AE, Bruna MJ, van Furth EF. Int J Obes. 2002;26:299–307.CrossRefGoogle Scholar
  14. Eldredge KL, Locke KD, Horowitz LM. Int J Eat Disord. 1998;23:383–90.PubMedCrossRefGoogle Scholar
  15. Fairburn CG, Doll HA, Welch SL, Hay PJ, Davies BA, O’Connor ME. Arch Gen Psychiatry. 1998;55:425–32.PubMedCrossRefGoogle Scholar
  16. Giovanni C, Lapi F, Ravaldi C, Vannacci A, Rotella CM, Faravelli C, Ricca V. Compr Psychiatry. 2008;24:359–63.Google Scholar
  17. Gorin AA, Niemeier HM, Hogan P, Coday M, Davis C, Dilillo VG, Gluck ME, Wadden TA, West DS, Wlliamson D, Yanovski SZ. Arch Gen Psychiatry. 2008;65:1447–55.PubMedCrossRefGoogle Scholar
  18. Grucza RA, Przybeck TR, Cloninger CR. Compr Psychiatry. 2007;48:124–31.PubMedCrossRefGoogle Scholar
  19. Guerdjikova AI, McElroy SL, Kotwal R, Keck PE Jr. Eat Weight Disord. 2007;12:e19–23.PubMedGoogle Scholar
  20. Hay P. Int J Eat Disord. 1998;2:371–82.CrossRefGoogle Scholar
  21. Herpertz S, Albus C, Wagener R, Kocnar M, Wagner R, Henning A, Best F, Foerster H, Schulze Schleppinghoff B, Thomas W, Kohle K, Mann K, Senf W. Diabetes Care. 1998;21:1110–6.PubMedCrossRefGoogle Scholar
  22. Hudson JI, Hiripi E, Pope HG Jr, Kessler RC. Biol Psych. 2007;61:348–58.CrossRefGoogle Scholar
  23. Johnsen LA, Gorin A, Stone AA, le Grange D. Eat Behav. 2003;3:295–305.PubMedCrossRefGoogle Scholar
  24. Kenardy J, Mensch M, Bowen K, Green B, Walton J, Dalton M. Eat Behav. 2001;20:222–6.Google Scholar
  25. Kolotkin RL, Revis ES, Kirkley BG, Janick L. J Consult Clin Psych. 1987;55:872–6.CrossRefGoogle Scholar
  26. Kuehnel RH, Wadden TA. Int J Eat Disord. 1994;15:321–9.PubMedCrossRefGoogle Scholar
  27. Mannucci E, Tesi F, Ricca V, Pierazzuoli E, Barciulli E, Moretti S, Di Bernardo M, Travaglini R, Carrara S, Zucchi T, Placidi GF, Rotella CM. Int J Obes. 2002;26:848–53.CrossRefGoogle Scholar
  28. Meneghini LF, Spadola J, Florez H. Diabetes Care. 2006;29:2760.PubMedCrossRefGoogle Scholar
  29. Mussell MP, Mitchell JE, Weller CL, Raymond NC, Crow SJ, Crosby RD. Int J Eat Disord. 1995;17:395–401.PubMedCrossRefGoogle Scholar
  30. National Task Force on Prevention and Treatment of Obesity. Arch Intern Med. 2000;160:2581–9.Google Scholar
  31. Nicado EG, Hong S, Takeuchi DT. Int J Eat Disord. 2007;40:S22–6.CrossRefGoogle Scholar
  32. Pagoto S, Bodenlos JS, Kantor L, Gitkind M, Curtin C, Ma Y. Obesity 2007;15:2557–9.PubMedCrossRefGoogle Scholar
  33. Porzelius LK, Houston C, Smith M, Arfkin C, Fisher E. Behav Ther. 1995;26:119–34.CrossRefGoogle Scholar
  34. Ryan M, Gallanagh J, Livinstone MB, Gaillard C, Ritz P. Diabetes Metab. 2008;34:581–6.PubMedCrossRefGoogle Scholar
  35. Sherwood NE, Jeffery RW, Wing RR. Int J Obes Relat Metab Disord. 1999;23:485–93.PubMedCrossRefGoogle Scholar
  36. Striegel-Moore RH, Franko DL. Int J Eat Disord. 2003;34:S19–29.PubMedCrossRefGoogle Scholar
  37. Striegel-Moore RH, Franko DL. Ann Rev Clin Psych. 2008;4:305–24.CrossRefGoogle Scholar
  38. Striegel-Moore RH, Wilson GT, Wilfley DE, Elder KA, Brownell KD. Int J Eat Disord. 1998;23:27–37.PubMedCrossRefGoogle Scholar
  39. Subak LL, Wing R, West DS, Franklin F, Vittinghoff E, Creasman JM, Richter HE, Myers D, Burgio KL, Gorin AA, Macer J, Kusek JW, Grady D; PRIDE Investigators. N Engl J Med. 2009;360:481–90.PubMedCrossRefGoogle Scholar
  40. Swinbourne JM, Touyz SW. Eur Eat Disord Rev. 2007;15:253–74.PubMedCrossRefGoogle Scholar
  41. Taylor JY, Caldwell CH, Baser RE, Faison N, Jackson JS. Prevalence of eating disorders among blacks in National Survey of American Life. Int J Eat Disord. 2007;40:S10–4.PubMedCrossRefGoogle Scholar
  42. Teixeria PJ, Going SB, Sardinha LB, Lohman TB. Obes Rev. 2005;6:43–65.CrossRefGoogle Scholar
  43. Telch CF, Stice E. J Consult Clin Psych. 1999;66:768–76.CrossRefGoogle Scholar
  44. Telch CF, Agras WS, Rossiter EM. Int J Eat Disord. 1988;23:7–15.Google Scholar
  45. Venditti EM, Wing RR, Jakicic JM, Butler BA, Marcus MD. J Consult Clin Psych. 1996;64:400–5.CrossRefGoogle Scholar
  46. Vocks S, Tuschen-Caffier B, Pietrowsky R, Rustenbach SJ, Kersting A, Herpertz S. Int J Eat Disord. 2009.Google Scholar
  47. Wadden TA, Foster GD, Sarwer DB, Anderson DA, Gladis M, Sanderson RS, Letchak RV, Berkowitz RI, Phelan S. Am J Clin Nutr. 2004;80:560–8.PubMedGoogle Scholar
  48. Wadden TA, West DS, Delahanty L, Jakicic J, Rejeski J, Williamson D, Berkowitz RI, Kelley DE, Tomchee C, Hill JO, Kumanyika S, Look AHEAD Research Group. Obesity 2006;14:737–52.PubMedCrossRefGoogle Scholar
  49. Wildes JE, Marcus MD, Fagiolini A. Psychiatry Res. 2008;161:51–8.PubMedCrossRefGoogle Scholar
  50. Wing RR, Marcus M, Epstein L, Blair E, Burton L. Int J Eat Disord. 1989;8:671–9.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Amy A. Gorin
    • 1
  • Heather M. Niemeier
  • Anna Schierberl Scherr
  1. 1.Department of Psychology, Center for Health, Intervention, and PreventionUniversity of ConnecticutStorrsUSA

Personalised recommendations