189-LB: Household Food Insecurity and Associations with Glycemic Control and Acute Diabetes-Related Complications in Youth and Young Adults with Type 1 Diabetes: The SEARCH for Diabetes in Youth Study

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 189-LB
Author(s):  
FAISAL MALIK ◽  
ANGELA D. LIESE ◽  
ALICE M. ELLYSON ◽  
LAUREN A. REID ◽  
KATHERINE A. SAUDER ◽  
...  
Diabetes Care ◽  
2022 ◽  
Author(s):  
Faisal S. Malik ◽  
Katherine A. Sauder ◽  
Scott Isom ◽  
Beth A. Reboussin ◽  
Dana Dabelea ◽  
...  

OBJECTIVES To describe temporal trends and correlates of glycemic control in youth and young adults (YYA) with youth-onset diabetes. RESEARCH DESIGN AND METHODS The study included 6,369 participants with type 1 or type 2 diabetes from the SEARCH for Diabetes in Youth study. Participant visit data were categorized into time periods of 2002–2007, 2008–2013, and 2014–2019, diabetes durations of 1–4, 5–9, and ≥10 years, and age groups of 1–9, 10–14, 15–19, 20–24, and ≥25 years. Participants contributed one randomly selected data point to each duration and age group per time period. Multivariable regression models were used to test differences in hemoglobin A1c (HbA1c) over time by diabetes type. Models were adjusted for site, age, sex, race/ethnicity, household income, health insurance status, insulin regimen, and diabetes duration, overall and stratified for each diabetes duration and age group. RESULTS Adjusted mean HbA1c for the 2014–2019 cohort of YYA with type 1 diabetes was 8.8 ± 0.04%. YYA with type 1 diabetes in the 10–14-, 15–19-, and 20–24-year-old age groups from the 2014–2019 cohort had worse glycemic control than the 2002–2007 cohort. Race/ethnicity, household income, and treatment regimen predicted differences in glycemic control in participants with type 1 diabetes from the 2014–2019 cohort. Adjusted mean HbA1c was 8.6 ± 0.12% for 2014–2019 YYA with type 2 diabetes. Participants aged ≥25 years with type 2 diabetes had worse glycemic control relative to the 2008–2013 cohort. Only treatment regimen was associated with differences in glycemic control in participants with type 2 diabetes. CONCLUSIONS Despite advances in diabetes technologies, medications, and dissemination of more aggressive glycemic targets, many current YYA are less likely to achieve desired glycemic control relative to earlier cohorts.


Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 1115-P
Author(s):  
ANGELA D. LIESE ◽  
ANDREA D. BROWN ◽  
ALLISON SHAPIRO ◽  
EDWARD A. FRONGILLO ◽  
GRETA WILKENING ◽  
...  

2020 ◽  
Vol 21 (7) ◽  
pp. 1093-1101
Author(s):  
Katherine A. Sauder ◽  
Jeanette M. Stafford ◽  
Natalie S. The ◽  
Elizabeth J. Mayer‐Davis ◽  
Joan Thomas ◽  
...  

2018 ◽  
Vol 20 (2) ◽  
pp. 172-179 ◽  
Author(s):  
Lindsey M. Duca ◽  
Beth A. Reboussin ◽  
Catherine Pihoker ◽  
Giuseppina Imperatore ◽  
Sharon Saydah ◽  
...  

2021 ◽  
Author(s):  
Faisal S. Malik ◽  
Angela D. Liese ◽  
Beth A. Reboussin ◽  
Katherine A. Sauder ◽  
Edward A. Frongillo ◽  
...  

<a>OBJECTIVES: To assess the prevalence of household food insecurity (HFI) and Supplemental Nutrition Assistance Program (SNAP) participation in youth and young adults (YYA) with diabetes overall, by type, and sociodemographic characteristics.</a> <p>RESEARCH DESIGN AND METHODS: The study included participants with youth-onset type 1 diabetes and type 2 diabetes from the SEARCH for Diabetes in Youth study. HFI was assessed using the 18-item U.S. Household Food Security Survey Module (HFSSM) administered from 2016-2019; ³3 affirmations on the HFSSM were considered indicative of HFI. Participants were asked about SNAP participation. Chi-square tests were used to assess whether the prevalence of HFI and SNAP participation differed by diabetes type. Multivariable logistic regression models were used to examine differences in HFI by participant characteristics. </p> <p>RESULTS: Of 2561 respondents (age range 10-35 years; 79.6% ≤ 25 years), 2177 had type 1 diabetes (mean age 21.0 years, 71.8% non-Hispanic white, 11.8% non-Hispanic black, 13.3% Hispanic, 3.1% other) and 384 had type 2 diabetes (mean age 24.7 years, 18.8% non-Hispanic white, 45.8% non-Hispanic black, 23.7% Hispanic, 18.7% other). The overall prevalence of HFI was 19.7% (95% CI 18.1, 21.2). HFI was more prevalent in type 2 diabetes than type 1 diabetes (30.7% vs. 17.7%, p< 0.01). In multivariable regression models, YYA on Medicaid/Medicare or without insurance, with lower parental education, and with lower household income had greater odds of experiencing HFI. SNAP participation was 14.1% (95% CI 12.7, 15.5) with higher participation among those with type 2 diabetes compared to type 1 diabetes (34.8% vs. 10.7%; p<0.001).</p> <p>CONCLUSIONS: Almost 1 in 3 YYA with type 2 diabetes and more than 1 in 6 with type 1 diabetes reported HFI in the past year, a significantly higher prevalence than the general U.S. population. </p>


Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 161-OR
Author(s):  
DARIA IGUDESMAN ◽  
BETH A. REBOUSSIN ◽  
KATHERINE J. SOURIS ◽  
CATHERINE PIHOKER ◽  
LAWRENCE M. DOLAN ◽  
...  

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