What is the clinical evidence from this study?

Study design: Observational. Population: Type 1 Diabetes (n=50). Intervention: Diabetes distress. Primary outcome: Average time in range (TIR) and glucose management indicator (GMI; 14-day average glucose) (b = -0.03, p=0.046).

June 7, 2026

2782-LB: Associations between Own and Partner Diabetes Distress and Key Blood Glucose Indicators among Persons with Type 1 Diabetes

Q: What does this research mean for the field?

Higher levels of specific domains of diabetes distress in both emerging adults with type 1 diabetes and their romantic partners are associated with poorer blood glucose outcomes, including lower time in range and higher glucose management indicator. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.ESTABLISHES_NEW_DIRECTION.

Resultado clave

Higher diabetes distress among persons with type 1 diabetes (friends/family distress TIR b=-0.03, p=0.046) and their partners was associated with poorer blood glucose outcomes.

Puntos clave

This study examines how diabetes distress in emerging adults with type 1 diabetes and their partners affects blood glucose management.
Participants included 25 emerging adult individuals with type 1 diabetes and their partners in a 2-week daily diary study.
Diabetes distress was measured using specific subscales for both partners and linked to blood glucose metrics like time in range and average glucose.
Continuous glucose monitoring data was collected to analyze glucose management outcomes.
Higher emotional diabetes distress among partners correlated with poorer blood glucose management (TIR b = -.02, p = .006).
Increased distress related to friends/family and eating was linked to worse average glucose outcomes (TIR b = -.03, p = .046; GMI b = .12, p = .048).
Statistical models support the association between diabetes distress levels and key blood glucose indicators.

Diseño del estudio

Tipo

Observational (n=50)

PICO estructurado

Is diabetes distress associated with poorer blood glucose management in emerging adults with type 1 diabetes and their partners?

Población

25 emerging adults with type 1 diabetes and their partners participated in a 2-week daily diary study to assess diabetes distress and blood glucose outcomes.

Exposición

Diabetes distress (assessed through baseline surveys with 7 PWD subscales and 4 T1DP subscales)

Resultado

Average time in range (TIR) and glucose management indicator (GMI; 14-day average glucose) measured via CGMsurrogate

Higher diabetes distress in both patients with type 1 diabetes and their partners is associated with poorer blood glucose outcomes, including lower time in range and higher glucose management indicator.

Resultado numérico

Estimación del efecto: b = -0.03

valor p: p=0.046

Resumen

Introduction and Objective: Emerging adults with type 1 diabetes (PWD) and their partners (T1DP) assume increasing responsibility for management of their T1D. Costly and intensive, it can lead to potentially leading to stress or psychological burden sometimes called diabetes distress. We examine associations between diabetes distress and blood glucose management for emerging adult couples with the PWD partner. Methods: Twenty-five emerging adult PWD and their spouse/cohabitating romantic partners participated in a 2-week daily diary study and provided CGM-measured blood glucose data. Diabetes distress was assessed through baseline surveys with patients and their partner. Diabetes distress was measured with 7 PWD subscales and 4 T1DP subscales, which were modeled as predictors of average time in range (TIR) and glucose management indicator (GMI; 14-day average glucose). Results: Regression models indicated that higher PWD friends/family distress (TIR b = -.03, p = .046; GMI b = .13, p = .047) and eating distress (TIR b = -.03, p = .037; GMI b = .12, p = .048), and T1DP emotional (TIR b = -.02, p = .006; GMI b = .11, p = .002) diabetes distress were associated with poorer blood glucose outcomes. Conclusion: Results provide promising first evidence linking domains of diabetes distress among PWD and T1DP with blood glucose outcomes. As evidence continues to accumulate, researchers should consider potentially modifiable ways to reduce potential effects of diabetes distress on PWD and their partners. Disclosure J. Earnest: None. D. Wheeler: None. A. Gibbons: None. C. Broadbent: None. S. Landini: None. E. Arnett: None. R. Lattin: None. H. Johnston: None. R. Blacker: None. O. Hubble: None. L.C. Rawlings: None. C.A. Berg: None. C.W. Jones: None. A. Davey: None. C.D. Jensen: None. J. Saylor: None. J. Yorgason: None. Funding National Institute of Diabetes and Digestive and Kidney Diseases (R15DK142163)

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