677-P: Diabetes Distress, Strengths, and Glycemic Outcomes in Young Adults (YA) with Type 1 Diabetes (T1D) Transferring to Adult Care

Introduction powerlessness r=0.19) and strengths (diabetes-related confidence r= -0.25) significantly correlated with HbA1c. The full regression model (Table) explained 39% of variance in HbA1c; public insurance, non-Hispanic ethnicity, no pump use, and higher diabetes distress significantly predicted higher HbA1c. Conclusion: When leaving pediatrics, diabetes distress appears particularly relevant to glycemic outcomes, outweighing diabetes strengths. Addressing diabetes distress and supporting device use in culturally-informed ways may help improve glycemic outcomes as YA with T1D transfer to adult care. Disclosure S. Camey: None. S.A. Carreon: None. C.G. Minard: None. S. Lyons: None. R. Streisand: None. T.S. Tang: None. S. Mckay: None. B.J. Anderson-Thomas: None. S. Devaraj: None. M.E. Hilliard: None. Funding National Institutes of Diabetes and Digestive and Kidney Disease (1R01DK119246); National Institute of Diabetes and Digestive and Kidney Disease (K26 DK138332)