Household food insecurity and associations with hemoglobin A1c and acute diabetes-related complications in youth and young adults with type 1 diabetes: The SEARCH for Diabetes in Youth study
Authors' conclusion
HFI is associated with higher HbA1c levels and increased odds of DKA in YYA with T1D.
Study context
- Population
- Youth and young adults with T1D, SEARCH for Diabetes in Youth participants, 2016–2019; mean age 20.8 ± 5.0 years, 70.0 % non-Hispanic WhiteHbA1c for 1060
- Participants
- 1,830 participants
- Exposure
- Household food insecurity vs food secure
- Outcome
- HbA1c; episodes of DKA and severe hypoglycemia
Methodological detailsmultivariable adjusted linear and logistic regression
- Multivariable adjusted linear and logistic regression
Main finding
As reported in the abstract
HbA1c, DKA and severe hypoglycemia
HFI vs Food secureDifference in HbA1c (higher with HFI), % (95 % CI)
Adjusted; higher with HFI
0.33(0.003–0.657)
HFI vs Food secureEstimate (95 % CI)
HbA1c, DKA and severe hypoglycemia
aOR, DKA episode 1.58(1.13–2.21)
HbA1c, DKA and severe hypoglycemia
aOR, severe hypoglycemia episode 1.53(0.99–2.37)
- Prevalence of household food insecurity (HFI)
- 16.4 %
- Diabetic ketoacidosis (DKA) episode in past 12 months
- 18.2 %
- Severe hypoglycemia episode in past 12 months
- 9.9 %
- Mean HbA1c
- 9.2 % ± 2.0 %
Observational data: associations, not effects.
Original publication
Household food insecurity and associations with hemoglobin A1c and acute diabetes-related complications in youth and young adults with type 1 diabetes: The SEARCH for Diabetes in Youth study. Diabetes Res Clin Pract. Published 3 April 2024. doi:10.
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