This study used data from the T1D Exchange Quality Improvement Collaborative to compare depression rates in youth with type 1 diabetes before and during the coronavirus disease 2019 (COVID-19) pandemic and identify characteristics of individuals with moderate-to-severe depressive symptoms. Rates of moderate-to-severe depressive symptoms remained stable before and during the pandemic, at 9.6–10.7%. During the pandemic, youth who screened positive for depression were more likely to be female and on public insurance, to have a higher A1C, and to have a history of diabetic ketoacidosis or severe hypoglycemia. They were less likely to identify as non-Hispanic White and more likely to identify as Hispanic.

This article contains supplementary material online at https://doi.org/10.2337/figshare.26221400.

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