Type 1 diabetes is one of the most common chronic diseases of childhood. Its management focuses on the relationship between blood sugar, insulin, and food. This may contribute to why individuals with type 1 diabetes have close to 2.5 times the risk of developing an eating disorder than those without diabetes. Many individuals with eating disorders and diabetes restrict medically necessary insulin doses as a powerful and dangerous calorie purge unique to diabetes. Insulin restriction is associated with an earlier onset of diabetes complications such as eye, kidney, and nerve damage as well as an increased risk of mortality. In this session, participants will gain a an understanding of the treatment needs for the complex combination of eating disorders and diabetes. Presenters will discuss the research on this topic, common challenges and consensus treatment guidelines for this dual diagnosis, as well as, address challenges and strategies faced by the dietician as part of the treatment team. Attendees will gain skills for successfully working with diabetic clients around the unique considerations for those learning how to eat in recovery.