Type 1 diabetes

Obesity in pediatric type 1 diabetes: an underestimated health problem

Diabetes Res Clin PractPublished Retrospective cohort study

Authors' conclusion

Nearly one-third of youth with T1D in this cohort had overweight or obesity. Higher weight-adjusted insulin requirements may reflect increased insulin resistance in this population.

Study context

Population
Youth with T1D enrolled in the Accurate Diagnosis in Diabetes for Appropriate Management (ADDAM) Biobank, Montreal Children's Hospital
Participants
352 participants
Outcome
Prevalence of overweight/obesity (BMI ≥ 85th percentile for age and sex)
Methodological detailsmulti-ethnic cohort, single-centre
  • Multi-ethnic cohort
  • Single-centre

Main finding

As reported in the abstract

BMI category

BMI < 85th percentile

70.5%

BMI ≥ 85th percentile (overweight/obesity)

29.5%

Obesity (BMI > 95th percentile)

10.7%

Observational data: associations, not effects.

Further findings

Associations with weight-adjusted total daily insulin dose (logistic regression)

Restricted to participants with obesity: association no longer significant after multivariable adjustment
P = 0.06
Higher weight-adjusted total daily insulin dose independently associated with BMI ≥ 85th percentile

Original publication

Obesity in pediatric type 1 diabetes: an underestimated health problem. Diabetes Res Clin Pract. Published 25 July 2026. doi:10.1016/j.diabres.2026.113459

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