Introduction and Objective: We implemented Disordered eating behaviors (DEB) screening in adolescents with type 1 diabetes (T1D) using the Diabetes Eating Problem Survey-Revised (DEPS-R) tool as recommended by the American Diabetes Association. We aim to highlight the prevalence of DEB in adolescents with T1D along with the relationship with technology use.Methods: Retrospective chart review of children and adolescents 13-19 years with T1D, seen in clinic between May to September 2024, that provided DEB survey.Results: A total of 326 subjects completed the survey, of those 43 (13%) had a positive screen (score≥ 20) for DEB. There was a higher prevalence of use of CGM (91% vs 87%, p=0.05), and hybrid closed lope (72% vs 52.3%, p=0.005) in those with positive vs negative screen. From the CGM download, those with positive screen compared to those with negative screen, had higher average blood glucose (BG) (210 mg/dl ± 56 vs.184 mg/dl± 41, p=0.0001), and percentage of BG>180 (55%±23 vs. 44%±20, p=0.0014). There were no differences in SD (72mg/dl±19 vs. 66mg/dl±20, p=0.17) or GMI (8.2%±1.3 vs. 8%±5.8, p=0.94), between the groups. Those with a positive screen had a lower duration of use (74%±28 % vs. 88%±20, p=0.0002), BG between 70 and 180 (44%±22 vs.54%±20, p=0.003), and BG <70 (0.9%±0.8 vs. 1.5%±1.4, p=0.009) compared to those with negative screen.Conclusion: Almost 1 in 5 adolescents with T1D had a positive screen for DEB. Those with positive DEB screen had more use of technology, but poor glycemic control reflected by higher average BG, higher BG and lower duration of CGM use. Further studies are crucial to examine further the use of technology and its association with DEB in adolescents with T1D.
R. Elrajabi: None. A. Guarneri: None. M. Saleh: None. I. Libman: None.
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