Characterising moment-to-moment fluctuation in stress, anxiety and blood glucose levels in adolescents with type 1 diabetes
It is now well documented that children and adolescents with T1D are at greater risk for psychological disorders than young people without diabetes. Our own population-based data shows that Western Australian youth with T1D are over twice as likely to experience severe anxiety disorder than healthy young people. In addition, high levels of psychological distress are associated with poorer metabolic control. Despite the observed link between stress, anxiety and glycaemic control, we still don’t understand how stress, anxiety and blood glucose levels may interact moment-to-moment. In the current study we used a novel method of measuring fluctuations in stress and anxiety throughout the day, using a mobile app and then combined this data with information from continuous glucose monitors. Data from this study is currently being analysed by our team.