Key result
Disordered eating in T1D youth is linked to ~47% higher rates of frequently missing insulin.
Why the study?
Disordered eating behaviors are common in adolescents and young adults with type 1 diabetes, but whether this holds in those with high diabetes technology use was unclear.
Answers are grounded in this paper and cite their sources.
Disordered eating behaviors are common in adolescents and young adults with Type 1 diabetes even with high use of diabetes technology, and are associated with adverse patient-reported outcomes.
Introduction and Objective: DEBs are common in AYA with T1D and are linked to suboptimal outcomes. We examined if this finding holds in a sample with high use of diabetes technology. Methods: From 2 centers, 191 AYA, age 14-25, completed the Diabetes Eating Problem Survey-Revised (DEPS-R) and were categorized by DEB risk: low (DEPS<10), moderate (DEPS 10-19), high (DEPS ≥20). AYA provided demographic/clinical data & completed surveys on diabetes distress (DD), sleep quality, fear of hypoglycemia (FOH), global health (PROMIS), & exercise. Results: AYA (50% female) had mean age 19.8±3.4 yrs, T1D duration 11.4±5.4 yrs, A1c 8.0±1.2%, & TIR (70-180 mg/dL) 49±17%; 100% had CGM data (98% regular users); 77% used AID. Weight status was 51% normal weight, 27% overweight, & 22% obese. DEB risk rates spread evenly across 3 categories (table). Higher DEB risk rates were associated with older age, female/non-binary gender, & overweight/obesity. Those with higher DEB risk rates reported greater DD, poorer sleep quality, greater FOH, poorer overall health, & less exercise. For those with high DEB risk rates, 56% reported missing insulin multiple times weekly vs 46% with moderate & 38% with low risk rates (p=.05). Conclusion: DEBs were common in AYA with T1D using CGM and AID and tracked significantly with adverse person-reported outcomes. Even with diabetes technology use, monitoring for DEBs remains critical for AYA with T1D. Disclosure M.V. Silveira: None. L. Volkening: None. S. Hanes: None. A.K. Schneider-Utaka: None. G. Orloff: None. J. Wong: None. K. Hood: Consultant; Current; Sanofi, MannKind Corporation, Insulet Corporation. L.M. Laffel: Other - Travel support for scientific presentations; Ended; Boehringer Ingelheim International GmbH. Other - DSMB Chair; Ended; Janssen Pharmaceuticals, Inc. Consultant; Current; Dexcom, Inc. Advisory Panel; Current; Medtronic, Sequel, Tandem Diabetes Care, Inc. Consultant; Current; Roche Diabetes Care, Sinocare. Advisory Panel; Ended; Sanofi. Advisory Panel; Current; MannKind Corporation.
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SILVEIRA et al. (2026) studied this question. Disordered eating behaviors in adolescents and young adults with type 1 diabetes using technology are linked to missing insulin frequently.
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