In addition, adolescent girls with T1D and eating disorders had more negative body self-images than girls with T1D but without eating problems (Grylli et al., 2010), and youths with T1D who manipulated insulin as a means of weight control were described as more likely to report body dissatisfaction than youths with T1D who did not manipulate insulin (Ackard et al., 2008; Olmsted et al., 2008). This evidence concerns the gene INS and eating disorder.