Type 1 diabetes

The psychological impact of time in tight range in adolescents with type 1 diabetes: insights from real-life clinical practice

Diabetes Res Clin PractPublished Cross-sectional study

Main findingResult — go to the resultOdds ratio 1.023 95% CI 1.002–1.044

Authors' conclusion

These findings suggest TITR may impose additional psychological burden beyond conventional glycemic targets. Further longitudinal studies are needed to evaluate its long-term impact on quality of life and optimize diabetes management strategies for youth with T1D.

Study context

Population
Adolescents with T1D, real-life clinical practice
Participants
123 adolescents
Exposure
Time in Tight Range (TITR) ≥50% vs not achieved
Outcome
Relationship between TITR and psychological outcomes (diabetes-related distress by PAID-Teen; well-being by PERMA)

Main finding

As reported in the abstract

Odds ratio

1.023

95% CI 1.002–1.044

P = 0.029

TITR ≥ 50%vs TITR < 50%
OR 1.023 (95% CI 1.002–1.044); P = 0.029

Observational data: associations, not effects.

Further findings

Time in range (TIR) ≥ 70% showed no significant relationship with psychological outcomes

Original publication

The psychological impact of time in tight range in adolescents with type 1 diabetes: insights from real-life clinical practice. Diabetes Res Clin Pract. Published 14 February 2026. doi:10.1016/j.diabres.2026.113160

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