A 19-year-old patient with a history of type 1 diabetes mell…
A 19-year-old patient with a history of type 1 diabetes mellitus and recent significant weight loss is being evaluated for a possible eating disorder. The patient reports intense fear of gaining weight and strict calorie restriction. Laboratory results show persistently elevated blood glucose levels despite being prescribed insulin. The patient later admits to intentionally skipping insulin doses. Which of the following behaviors associated with anorexia best describes this patient’s actions?