Disconnect between advanced diabetes technology and psychological well-being among young people: a cross-sectional analysis
Authors' conclusion
AID systems were associated with improved glycemic control and high satisfaction among AYA. However, psychological distress remained prevalent across all treatment modalities, underscoring a discrepancy between metabolic benefits and persistent mental health challenges. These findings highlight the need to integrate psychological support alongside technological advances in the care of AYA living with diabetes.
Study context
- Population
- Adolescents and young adults with T1D recruited from the largest diabetes camp for and young adults (AYA) in Germany; 70% female, mean age 20.7±2.9 years, 33% automated insulin dosing (AID) userscompleted questionnaire
- Participants
- 151 adolescents
- Exposure
- AID vs continuous subcutaneous insulin infusion (CSII) vs MDI
- Outcome
- Self-reported HbA1c
Main finding
As reported in the abstract
P = 0.003
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| Treatment satisfactionAID vs CSII · higher with AID · controlled for age and gender | P = 0.044 |
| Diabetes burdenAID vs MDI · lower with AID · controlled for age and gender | P = 0.044 |
Perceptions of AID
- AID users viewing current system as improvement over previous therapy
- ≈75%
- Greater ease
- 84%
- Greater comfort
- 82%
- Greater safety
- 80%
Well-being and anxiety
- Treatment groups did not differ in well-being or anxiety
Correlates of better global health status
- Absence of other chronic health conditions
- P = 0.024
- Greater well-being (WHO-5)
- P < 0.001
- Lower hemoglobin A1c (HbA1c)
- P = 0.038
- Fewer anxiety symptoms (GAD-7)
- P = 0.007
Psychological symptoms, all participants
- Depression symptoms
- 18%
- Anxiety symptoms
- 30%
- Diabetes distress
- 39%
Original publication
Disconnect between advanced diabetes technology and psychological well-being among young people: a cross-sectional analysis. BMJ Open Diabetes Res Care. Published 4 November 2025. doi:10.
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