Diabulimia Residential Treatment

Medically reviewed by Marty Lerner, PhD — August 27, 2026

Milestones’ Approach:
Nurturing Hope in Recovery

Diabulimia is a complex and dangerous condition that involves the intentional misuse of insulin to control appetite and weight. This disorder requires specialized care that addresses both eating disorder behaviors and diabetes management. At Milestones, we integrate the necessary medical, nutritional, and psychological care to ensure a quality recovery from an eating disorder and healthy blood sugar management.    

Our SMERF* approach (Spirituality/Support, Meditation, Exercise, Rest, and a prescribed Food plan) is designed to promote holistic recovery. This ensures that individuals regain physical stability and establish a healthier relationship with food, prescribed medication, and overall self-care.

Practicing new habits in recovery at Milestones

Program Details

Our Diabulimia treatment track includes:

  • 24/7 medical monitoring to stabilize blood sugar levels.
  • Internal medicine and diabetes specialists work alongside our eating disorder team.
  • Individual therapy sessions to address insulin and weight anxiety along with body image concerns.
  • Registered dietitians and certified diabetes educators individualize nutritional planning, meal prep, and grocery shopping.
  • Psychotherapy, CBT, and trauma-informed therapy to tackle emotional triggers.

Symptoms

Diabulimia can be life-threatening. Some warning signs include:

  • Insulin restriction or manipulation to lose weight.
  • Extreme fluctuations in blood sugar levels.
  • Frequent hospitalization for diabetes complications.
  • Excessive exercise or food restriction.
  • Chronic fatigue, dehydration, or dizziness.
  • Severe weight loss despite high food intake.
  • Diabetic ketoacidosis (DKA) symptoms, such as nausea and confusion.

Diabulimia Treatment Options

Residential Treatment for Diabulimia

Our Diabulimia Residential Treatment Program provides:

  • Round-the-clock supervision with medical oversight.
  • Integrated diabetes and eating disorder care.
  • Emphasis on balanced nutrition and stable insulin management.

PHP Programs

PHP is an intermediate level of care designed for individuals who need structured support while practicing independent recovery. It includes:

  • Includes a schedule and therapies similar to the Residential Program without the level of supervision after-hours
  • A comprehensive daily schedule (9 AM – 3 PM).
  • Therapeutic meal support and meal planning.
  • Individualized and group-based therapy.
  • Optional on-site boarding is available for those requiring additional support.

IOP Programs

Our IOP program provides a structured yet supportive milieu for those transitioning from a higher level of care or seeking less intensive outpatient treatment experience. Features include:

  • Telehealth options are available for those unable to attend in person.
  • Three to five days per week, with three sessions per day.
  • Individual and group therapy focused on accountability and skill-building.
  • Nutritional guidance and medical oversight.

Telehealth Programs

Our virtual treatment options offer support for individuals unable to attend in person.

Stabilization & Aftercare

  • A 14-day reset program for those needing reinforcement.
  • Alumni-led support groups for continued guidance.

Aftercare & Alumni Support

Our Alumni Coordinator facilitates ongoing support through:

  • Community events and recovery seminars.
  • Weekly alumni support groups.
  • Continued care planning for post-treatment success.

Insurance and coverage

We work with all major insurance providers. If you don’t see your provider below, Call us at (888) 594-8779 or complete the form below to find 
the best option for you.

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How to know if I have an eating disorder

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Constant thoughts about food, eating when you’re not hungry, feeling out of control around certain foods? Our clinicians created this short self-assessment to help you see how your relationship with food is affecting your life, and whether Milestones may be a good fit for you.

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