An Exploratory study of the Spectrum of Physiological, Psychological And Social Dynamics in Individuals with type 1 Diabetes

Background: Type 1 diabetes (T1D) accounts for a small percentage of diabetes cases but affects millions worldwide. In addition to glycemic control, psychological and social factors influence T1D management, yet understanding of their combined effect on overall health and quality of life (QoL) is limited. Objective: To evaluate the combined impact of physiological, psychological & social factors affecting the health and quality of life of individuals with Type-1 diabetes. Methodology: Eighty-two individuals with T1D participated in this cross-sectional study. Data were collected via structured interviews and clinical assessments including anthropometry, laboratory tests, and validated questionnaires on mental health (PHQ-9), social support (DSSQ), and diabetes-specific QoL (MDQoL-17). Results: Participants (mean age 21.96±2.003 years; 76.8% male) had mean age at diagnosis 18.32±1.46 years. Most (68.29%) reported anxious related to insulin use or fear of hypoglycemia. The average QoL score was 67.25±12.88. Participants with low socioeconomic conditions, inadequate dietary practices, low physical activity, or diabetes complications had significantly lower QoL. Those with good glycemic control (HbA1c ?7%) had better QoL than those with poor control. Conclusion: Individuals with T1D face intertwined physiological, psychological, and social challenges. A holistic approach addressing glycemic control, psycological health, and social support may improve QoL and outcomes for people with T1D.