Abstract Body

Glycemic control is typically measured by aggregate glucose data spanning 14 days. Little is known about the daily fluctuations in diabetes self-management, glycemic control, and ability to achieve goals in adolescents and young adults (AYA) with type 1 diabetes. There are likely a myriad of underlying physiological, emotional, and cognitive factors that fluctuate on a day-by-day basis that predict these daily diabetes outcomes. This is important because daily patterns and habits are proximal to the momentary experience of AYA, and may provide unique foci for precision interventions to improve diabetes self-management among AYA with diabetes. Newer health behavior theories such as Two Minds Theory suggest that such momentary biopsychosocial factors require state-level assessment close to the time of the actual behavior rather than trait-level global assessment. We prospectively studied 100 AYA with T1D on a daily basis to determine novel biopsychosocial factors that predict glycemia, adherence, and goal attainment, in an effort to identify novel intervention targets and strategies to improve glycemic control in AYA with type 1 diabetes.