Eating Disorders & Diabetes (EDDM)

At Monte Nido, we understand that having specialized care that can manage both diabetes while getting treatment for an eating disorder is unfortunately not available everywhere. We have multiple pathways for individuals with diabetes and eating disorders (EDDM) to receive outstanding, safe, and informed care on their treatment journey. The best facility within Monte Nido’s network will depend entirely on individual preferences and safety needs.

For those with eating disorders and Type 1 Diabetes (EDDMT1), we are proud to showcase Monte Nido Rosewood Ranch in Wickenburg, Arizona. Rosewood Ranch has been treating higher volumes of clients with EDDMT1 since 2021, and now has improved and sophisticated protocols that are congruent with best practices for diabetes care. Here are a few of the ways that Rosewood can serve clients that exemplify this:

• Clients can work with Hannah Lochner, a certified diabetes education specialist (CDCES), who can then continue to work with them if they continue with MNA for step down care. CDCES are integral members of the Rosewood treatment team, helping to bridge communication with the home teams, family members, and elevate our sensitivity to the needs of clients with EDDM, both during treatment and planning for discharge and beyond.
• Rosewood has a multidisciplinary team with significant expertise in all aspects of EDDM and its management.
• Clients can use continuous glucose monitors on site.
• If desired and appropriate, clients can work toward returning to a pump or even initiating a pump by the end of their stay, allowing for a more seamless transition to PHP levels of care.
• Clients are expected to be proficient in and responsible for counting their own carbs and managing their insulin dosing by discharge.
• Insulin dosing at Rosewood Ranch is done in a more physiologically compatible manner, with pre and post meal dosing to keep blood sugars in a more comfortable range and reduce rapid rises after meals.

Monte Nido Walden is another outstanding facility in the Monte Nido family that can also manage EDDMT1, but does so without a CDCES and use a more traditional pathway at this time, with post-meal insulin dosing, routine fingerstick glucose checks, and without the ability to transition to insulin pumps during the admission. Walden may be appropriate for you or your loved one depending on their needs and certainly has the ability to manage insulin safely.

Finally, all of our residential facilities can manage eating disorders and Type 2 Diabetes Mellitus (EDDMT2), as long as insulin is not a prescribed medication. At our residential centers, clients will work directly with the treatment team to determine needs and do not work with a CDCES although we remain in close contact with their home endocrinology team throughout their stay. As we have 24/7 nursing care at all of our facilites, we can manage any diabetes care needs on site for Type 2 diabetes. We do not stop any medications used for diabetes management, although if something is prescribed solely for weight loss and not for diabetes care we will recommend stopping that medication.