Table 1

Formation of the DEPS-R: omitted items and revised measure

Correlation with total
Items omitted because of lack of face validity  
    Controlling my diabetes is very important to me* 0.38 
    I forget to take my insulin 0.36 
    Before exercising, I eat carbohydrates to avoid going low* 0.24 
    When my blood sugar is low, I eat something immediately* 0.28 
    When my blood sugar is high, I take extra insulin* 0.02 
    I take less insulin than what my doctor tells me 0.13 
    I exercise to control my blood sugars* 0.02 
Items omitted because of redundancy  
    I eat in private when no one else is around 0.47 
    I check my blood sugar less frequently than my doctor tells me 0.28 
    I feel comfortable eating in front of others* 0.31 
    I adjust my insulin dose based on the results of my blood sugar checks* 0.18 
    I like to have ketones in my urine because that means that I am burning fat −0.15 

 
Items retained in DEPS-R  
    Losing weight is an important goal to me  
    I skip meals and/or snacks  
    Other people have told me that my eating is out of control  
    When I overeat, I don't take enough insulin to cover the food  
    I eat more when I am alone than when I am with others  
    I feel that it's difficult to lose weight and control my diabetes at the same time  
    I avoid checking my blood sugar when I feel like it is out of range  
    I make myself vomit  
    I try to keep my blood sugar high so that I will lose weight  
    I try to eat to the point of spilling ketones in my urine  
    I feel fat when I take all of my insulin  
    Other people tell me to take better care of my diabetes  
    After I overeat, I skip my next insulin dose  
    I feel that my eating is out of control  
    I alternate between eating very little and eating huge amounts  
    I would rather be thin than to have good control of my diabetes  
Correlation with total
Items omitted because of lack of face validity  
    Controlling my diabetes is very important to me* 0.38 
    I forget to take my insulin 0.36 
    Before exercising, I eat carbohydrates to avoid going low* 0.24 
    When my blood sugar is low, I eat something immediately* 0.28 
    When my blood sugar is high, I take extra insulin* 0.02 
    I take less insulin than what my doctor tells me 0.13 
    I exercise to control my blood sugars* 0.02 
Items omitted because of redundancy  
    I eat in private when no one else is around 0.47 
    I check my blood sugar less frequently than my doctor tells me 0.28 
    I feel comfortable eating in front of others* 0.31 
    I adjust my insulin dose based on the results of my blood sugar checks* 0.18 
    I like to have ketones in my urine because that means that I am burning fat −0.15 

 
Items retained in DEPS-R  
    Losing weight is an important goal to me  
    I skip meals and/or snacks  
    Other people have told me that my eating is out of control  
    When I overeat, I don't take enough insulin to cover the food  
    I eat more when I am alone than when I am with others  
    I feel that it's difficult to lose weight and control my diabetes at the same time  
    I avoid checking my blood sugar when I feel like it is out of range  
    I make myself vomit  
    I try to keep my blood sugar high so that I will lose weight  
    I try to eat to the point of spilling ketones in my urine  
    I feel fat when I take all of my insulin  
    Other people tell me to take better care of my diabetes  
    After I overeat, I skip my next insulin dose  
    I feel that my eating is out of control  
    I alternate between eating very little and eating huge amounts  
    I would rather be thin than to have good control of my diabetes  

*Reverse-scored items.

†Items are answered on a 6-point Likert scale: 0 = never, 1 = rarely, 2 = sometimes, 3 = often, 4 = usually, 5 = always.

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