700-P: Recent and Lifetime Experiences with Diabetes Distress in Adults with Type 1 Diabetes

Introduction ‘no’ = lifetime experiences). Thematic analysis was used to categorize responses. Participants also completed the DDS-2, and two T1DDS subscales: Powerlessness and Physician Distress. Welch's t-tests compared means between groups (DDyes vs. DDno). Results: Most participants reported DD in the past 12 months (n DDyes = 241 vs. n DDno = 31). Both DDyes (32.0%) and DDno (34.4%) groups described DD around T1D management. The DDyes group described challenges in daily life with T1D (11.7%) and financial burden (11.3%). The DDno group described distress in adolescence (18.8%) and no experiences with DD (25.8%). Compared to the DDno group, the DDyes group was younger (t(37.7) = -2.9, p 0.01), had T1D for fewer years (t(39.2)= -2.9, p 0.01), and higher scores on all measures of DD: DDS-2 (t(58.3)= 10.1, p 0.01), Powerlessness (t(52.2)= 9.3, p 0.01), and Physician Distress (t(65.3)= 4.9, p0.01). Yet, depending on measure, not all participants in the DDyes group met cutoff scores for ‘moderate-to-high’ DD: Physician Distress = 35.3%, DDS-2 = 49.8%, Powerlessness = 81.3%. Conclusion: Most participants reported DD experiences within the past year. However, validated measures did not always classify those who reported recent experiences with higher DD. Thus, providers should consider using DD measures in conjunction with discussions of lived experiences in adults with T1D. Disclosure K.S.M. Chapman: None. E.M. Cornelius: None. W. Wolf: None. M. Peter: None. C.S. Kelly: None. Funding This research was supported in part by The Leona M. and Harry B. Helmsley Charitable Trust.