ASHA Self-Study Continuing Education: Diabulimia and the Role of School Health Personnel
October 2010 issue of Journal of School Health

  • Journal of School Health is written and produced by the American School Health Association. Activity planning, test questions, and pilot testing were conducted by Susan F. Wooley, PhD, CHES, and selected members of ASHA's Editorial Board and Professional Development Committee.

Learning Objectives

By completing this self-study, participants will be able to:

  • 1)describe the study.
  • 2)identify lessons learned from the study.
  • 3)determine whether the lessons learned apply to their practice.
  • 4)utilize relevant lessons learned to improve their practice.
  • 1Those most likely to exhibit diabulimia are:
    a)  Females.
    b)  Those trying to lose weight.
    c)  Type 1 diabetics.
    d)  All of the above.
  • 2The approximate number of children diagnosed with type 1 diabetes each year is:
    a)  5,000.
    b)  10,000.
    c)  15,000.
    d)  20,000.
  • 3The prevalence of eating disorders among adolescent females with type 1 diabetes compared to females without diabetes is:
    a)  Half as great.
    b)  About the same.
    c)  Twice as great.
    d)  Four times as great.
  • 4The estimated percentage of adolescent and young adult women with diabetes who skip insulin after meals to lose weight is between:
    a)  10% – 20%.
    b)  20% – 30%.
    c)  30% – 40%.
    d)  40% – 50%.
  • 5Early physiological warning signs of eating disorders among diabetics include:
    a)  Excessive thirst.
    b)  Frequent urination.
    c)  Fruity-scented breath.
    d)  All of the above.
  • 6A single screening question the authors suggested to identify potential diabulimics is:
    a)  “I am concerned about my weight.”
    b)  “I take less insulin than I should.”
    c)  “My friends tell me I eat too little.”
    d)  “Sometimes I sneak food so others will not see me eat.”
  • 7In the authors’ list of those whose roles should be delineated in a Diabetes Medical Management Plan, one NOT included is:
    a)  Principals.
    b)  Students.
    c)  Students’ families/parents.
    d)  Teachers.
  • 8Although the American Diabetes Association recommends that middle school students with diabetes should be able to administer their own insulin with supervision the authors suggest that if schools had the following policy, fewer students would be able to omit needed insulin treatment during the school day.
    a)  All students with diabetes must administer insulin under the supervision of the school nurse.
    b)  Middle school students with diabetes must be supervised while administering their own insulin.
    c)  High school students with diabetes must be supervised while administering their own insulin.
    d)  Both c and d.
  • 9The four distinct learning styles used in the Diabetes Youth Curriculum: A Toolbox for Educators are:
    a)  Abstract random, abstract sequential, concrete random, and concrete sequential.
    b)  Amiable, analytical, driver, and expressive.
    c)  Extrovert intuitive, extrovert sensory, introvert intuitive, and introvert sensory.
    d)  Kinesthetic, auditory, tactile, and verbal.
  • 10In the Discussion section, the authors discuss the role of all of the following EXCEPT:
    a)  School guidance and counseling services personnel.
    b)  School health educators.
    c)  School health services personnel.
    d)  Students with diabetes.

Answer Sheet (Event 01059)

  • 1A □  B □  C □  D □
  • 2A □  B □  C □  D □
  • 3A □  B □  C □  D □
  • 4A □  B □  C □  D □
  • 5A □  B □  C □  D □
  • 6A □  B □  C □  D □
  • 7A □  B □  C □  D □
  • 8A □  B □  C □  D □
  • 9A □  B □  C □  D □
  • 10A □  B □  C □  D □

□  1.0 Continuing Nursing Education Contact Hour
□  1.0 CECH Category I CHES, OH0005


  • Select the answer and check the corresponding box on the Answer Sheet. Retain the test questions as your record.
  • Complete the Registration, Evaluation, and Payment Information in the space provided.
  • Return the Answer Sheet to: Continuing Education Coordinator, American School Health Association, 7263 State Route 43, PO Box 708, Kent, OH 44240; 330/678-4526 (fax).
  • 70% constitutes a passing score.
  • Please allow 4–6 weeks for processing. For recertification purposes, the date that contact hours are awarded will reflect the date of processing.


Learners should be able to: 1) Describe the study; 2) Identify lessons learned from the study; 3) Determine whether the lessons learned apply to their practice; 4) Utilize relevant lessons learned to improve their practice. (Event 01059)

Evaluation (please circle rating)

1) The stated objectives were met.Disagree  1  2  3  4  5  Agree
2) The content was related to the objectives.Disagree  1  2  3  4  5  Agree
3) The content was clearly written.Disagree  1  2  3  4  5  Agree
4) The test questions were clearly written.Disagree  1  2  3  4  5  Agree
5) The content was related to my practice needs.Disagree  1  2  3  4  5  Agree
6) The module was easy to access and use.Disagree  1  2  3  4  5  Agree
7) Time it took to review the module and take the test: _______minutes.

Send comments to: Mary Bamer Ramsier, PO Box 708, Kent, OH 44240;


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