Introduction and Objective: Disordered eating (DE) has been associated with poorer glycemic control among youth with Type 2 diabetes (T2D). Screening may help identify patients at risk for DE. We sought to determine whether screening positive for DE was associated with a significant difference in average HbA1c compared to screening negative for DE among youth with T2D.
Methods: A retrospective chart review of youth with T2D receiving care at a pediatric diabetes clinic was completed. Demographic information, DE screening results, and HbA1c were collected for all visits occurring between October 2020 and September 2023. Registered Dietitians (RDs) used a 4-item modified version of the Screen for Disordered Eating (SDE), with the goal of screening all youth aged 12 and older with T2D once per year. Mean HbA1c between groups were compared using t-tests.
Results: Of the 59 screened, 39.0% (n=23) reported a positive screen (2 or more positive responses) and 61.0% (n = 36) reported a negative screen. Those who screened positive had an average HbA1c of 7.9 (+/- 2.5) and those who screened negative had an average HbA1c of 8.4 (+/- 2.5; p = 0.50). Demographic information is presented in Table 1.
Conclusion: Among a diverse sample of youth with T2D, more than one-third of screened patients were positive on a DE questionnaire. Screening positive for DE was not associated with a significant difference in average HbA1c compared to screening negative for DE.
A. Kreynin: None. E.A. Mann: None. R. Fenske: None.
