June 12, 2026

2102-P: High Risk of Disordered Eating Behaviors (DEBs) in Adolescents and Young Adults (AYA) with Type 1 Diabetes Using Diabetes Technology

Key Result

Disordered eating behaviors in adolescents and young adults with type 1 diabetes using technology are linked to missing insulin frequently (56% high vs 38% low risk, p=0.05).

Key Points

This research investigates the prevalence of disordered eating behaviors (DEBs) in adolescents and young adults with Type 1 Diabetes (T1D) who extensively use diabetes technology.
191 adolescents and young adults aged 14-25 completed the Diabetes Eating Problem Survey-Revised (DEPS-R) to classify DEB risk.
Participants provided demographic and clinical data, and completed surveys on diabetes distress, sleep quality, fear of hypoglycemia, global health, and exercise.
Data on continuous glucose monitoring and advanced insulin delivery usage were collected.
DEB risk was categorized as low, moderate, or high based on DEPS-R scores, with higher risk rates linked to older age, female/non-binary gender, and overweight/obesity.
56% of adolescents with high DEB risk reported missing insulin multiple times weekly compared to 46% (moderate risk) and 38% (low risk) (p=0.05).
Adolescents with higher DEB risk reported greater diabetes distress, poorer sleep quality, and less exercise.

Structured PICO

Population

191 adolescents and young adults (age 14-25) with Type 1 Diabetes from 2 centers, mean age 19.8, 50% female.

Outcome

Disordered Eating Behaviors (DEB) risk categorized by Diabetes Eating Problem Survey-Revised (DEPS-R)patient reported

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.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

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 (DEPS10), moderate (DEPS 10-19), high (DEPS ≥20). AYA provided demographic/clinical data 100% had CGM data (98% regular users); 77% used AID. Weight status was 51% normal weight, 27% overweight, 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. Funding NIH (R01DK129479)

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