Introduction and Objective: Adults with T1D live longer. This study aimed to identify perceived goals, changes, challenges, strategies, and sources of support for dietary management among older adults with T1D, and assess their preferences for nutrition education topics. Methods: A convergent mixed-methods design was used. 345 adults aged ≥65 with T1D completed an online survey that included five open-ended questions and indicated their interest in 17 nutrition education topics. We thematically analyzed qualitative responses and used chi-square tests for gender differences in educational interests. Results: Older adults reported age-related changes in appetite, metabolism, and eating patterns, often influenced by comorbidities. Key challenges included balancing food, insulin, and exercise; difficulty with carb counting; and limited nutrition transparency at restaurants. Gaps in care included access to healthy food, tailored education, medical supplies, and peer support. A higher proportion of women expressed interest in learning about a broad set of nutrition topics (Figure 1). Conclusion: Older adults with T1D face complex dietary needs shaped by physiological, behavioral, and social factors. Tailored nutrition education and support systems, addressing aging-related changes, are essential for promoting healthy aging in this growing population. Disclosure S. Hua: None. M.M. Hart: None. A. Fruik: None. A. Kahkoska: Other - Dexcom provides Devices for clinical research in kind or at reduced cost, through my institution; Current; Dexcom, Inc. Funding NIH/NIDDK (P30 DK124723)
Hua et al. (Fri,) studied this question.
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