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Glycemic variability and weight-focused eating behaviors among adolescents and young adults with type 1 diabetes.

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Title: Glycemic variability and weight-focused eating behaviors among adolescents and young adults with type 1 diabetes.
Authors: Smith, Laura B1,2 (AUTHOR), Ahlich, Erica3 (AUTHOR), Lang, Brittany3 (AUTHOR), Bollepalli, Sureka4 (AUTHOR), Prioleau, Temiloluwa5 (AUTHOR), Bartolome, Abigail5 (AUTHOR), Lansing, Amy Hughes6 (AUTHOR), Rancourt, Diana3 (AUTHOR)
Source: Journal of Pediatric Psychology. Apr2025, Vol. 50 Issue 4, p326-334. 9p.
Subject Terms: *Eating disorders, *Young adults, *Teenagers, Type 1 diabetes, Dietary patterns, Glycemic index, Weight loss, Hunger
Abstract: Objective Type 1 diabetes (T1D) disease management and associated glycemic fluctuations can disrupt experiences of hunger and satiety, which may increase risk for disordered eating behaviors. Glycemic variability may be a useful trigger for just-in-time interventions for disordered eating behaviors. In this exploratory study, we hypothesized that two metrics of glycemic variability would be associated with greater hunger and predict eating behaviors for weight loss or maintenance in adolescents and young adults with T1D. Methods Individuals with T1D were recruited from a university diabetes clinic (N  =   34; 50% female, M age = 19.53 years, M HbA1c = 7.98%; 29% Hispanic/Latinx; 79% White). Participants wore a blinded continuous glucose monitor for 5 days, and completed ecological momentary assessments (four prompts per day) that included measures of hunger and eating behaviors for weight loss or maintenance purposes. Generalized and linear mixed models were used to test hypotheses. Results Approximately 30% of participants were at risk for an eating disorder based on Diabetes Eating Problem Survey—Revised scores. Greater glycemic variability did not predict hunger, but was associated with increased odds of endorsing any eating behavior for weight loss or maintenance purposes within-person (p s<.05). Greater hunger was associated with increased odds of endorsing disordered eating behavior within-person (p <.05). Conclusions This exploratory study provides some preliminary evidence that times of greater hunger and glycemic variability may be when individuals with T1D may be at higher risk of engaging in behaviors to lose or maintain weight. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Glycemic variability and weight-focused eating behaviors among adolescents and young adults with type 1 diabetes.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Smith%2C+Laura+B%22&quot;&gt;Smith, Laura B&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ahlich%2C+Erica%22&quot;&gt;Ahlich, Erica&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lang%2C+Brittany%22&quot;&gt;Lang, Brittany&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bollepalli%2C+Sureka%22&quot;&gt;Bollepalli, Sureka&lt;/searchLink&gt;&lt;relatesTo&gt;4&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Prioleau%2C+Temiloluwa%22&quot;&gt;Prioleau, Temiloluwa&lt;/searchLink&gt;&lt;relatesTo&gt;5&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bartolome%2C+Abigail%22&quot;&gt;Bartolome, Abigail&lt;/searchLink&gt;&lt;relatesTo&gt;5&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lansing%2C+Amy+Hughes%22&quot;&gt;Lansing, Amy Hughes&lt;/searchLink&gt;&lt;relatesTo&gt;6&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rancourt%2C+Diana%22&quot;&gt;Rancourt, Diana&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+Pediatric+Psychology%22&quot;&gt;Journal of Pediatric Psychology&lt;/searchLink&gt;. Apr2025, Vol. 50 Issue 4, p326-334. 9p.
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  Data: *&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Eating+disorders%22&quot;&gt;Eating disorders&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Young+adults%22&quot;&gt;Young adults&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Teenagers%22&quot;&gt;Teenagers&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Type+1+diabetes%22&quot;&gt;Type 1 diabetes&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Dietary+patterns%22&quot;&gt;Dietary patterns&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Glycemic+index%22&quot;&gt;Glycemic index&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Weight+loss%22&quot;&gt;Weight loss&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Hunger%22&quot;&gt;Hunger&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective Type 1 diabetes (T1D) disease management and associated glycemic fluctuations can disrupt experiences of hunger and satiety, which may increase risk for disordered eating behaviors. Glycemic variability may be a useful trigger for just-in-time interventions for disordered eating behaviors. In this exploratory study, we hypothesized that two metrics of glycemic variability would be associated with greater hunger and predict eating behaviors for weight loss or maintenance in adolescents and young adults with T1D. Methods Individuals with T1D were recruited from a university diabetes clinic (N  =   34; 50% female, M age = 19.53 years, M HbA1c = 7.98%; 29% Hispanic/Latinx; 79% White). Participants wore a blinded continuous glucose monitor for 5&#160;days, and completed ecological momentary assessments (four prompts per day) that included measures of hunger and eating behaviors for weight loss or maintenance purposes. Generalized and linear mixed models were used to test hypotheses. Results Approximately 30% of participants were at risk for an eating disorder based on Diabetes Eating Problem Survey—Revised scores. Greater glycemic variability did not predict hunger, but was associated with increased odds of endorsing any eating behavior for weight loss or maintenance purposes within-person (p s&lt;.05). Greater hunger was associated with increased odds of endorsing disordered eating behavior within-person (p &lt;.05). Conclusions This exploratory study provides some preliminary evidence that times of greater hunger and glycemic variability may be when individuals with T1D may be at higher risk of engaging in behaviors to lose or maintain weight. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1093/jpepsy/jsaf009
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 326
    Subjects:
      – SubjectFull: Eating disorders
        Type: general
      – SubjectFull: Young adults
        Type: general
      – SubjectFull: Teenagers
        Type: general
      – SubjectFull: Type 1 diabetes
        Type: general
      – SubjectFull: Dietary patterns
        Type: general
      – SubjectFull: Glycemic index
        Type: general
      – SubjectFull: Weight loss
        Type: general
      – SubjectFull: Hunger
        Type: general
    Titles:
      – TitleFull: Glycemic variability and weight-focused eating behaviors among adolescents and young adults with type 1 diabetes.
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            NameFull: Smith, Laura B
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            NameFull: Ahlich, Erica
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            NameFull: Lang, Brittany
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            NameFull: Bollepalli, Sureka
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              M: 04
              Text: Apr2025
              Type: published
              Y: 2025
          Identifiers:
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              Value: 01468693
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              Value: 50
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