Eating disorders in adolescents with type 1 diabetes: Challenges in diagnosis and treatment

Figure 2 Typical example of the course of HbA1c levels in a patient, with intentional insulin omission for weight loss, plotted on the HbA1c percentile reference curves. HbA1c levels were around the 10^th percentile from age 10 to 14 years. From age 18 the pattern changed and was characterized by sharp increases to levels above the 90^th percentile, sharp decreases and multiple measurements above the 90^th percentile.