Dockery, L. A.McCaffrey, A.Connolly, M.Neylon, O. M.O'Gorman, Clodagh2025-08-072025-08-072023Irish Medical Journal, 2023, 116 (10), pp. 871-https://doi.org/10.34961/researchrepository-ul.25196324https://hdl.handle.net/10344/13349Aim This report aims to characterise the adolescent population with T1D attending University Hospital Limerick (UHL) paediatric diabetes services and carry out subgroup analysis of high-risk patients. High-risk are those with HbA1c≥75mmol/mol(9%) and factors impacting disease management including psychosocial issues/other chronic diseases. Methods Data was collected using Microsoft Excel, from adolescents attending UHL paediatric diabetes clinic and age≥ 14 years between January 1st-June 30th 2022, and analysed using Excel, Minitab and OpenStax. Results 74 adolescents, equal males and females, of whom 20 were high-risk, were included. High-risk individuals were less likely to use insulin pumps or continuous glucose monitoring devices, and more likely to have lipohypertrophy than non-high-risk peers. Of those high-risk, 6 had at least one consultation with a medical social worker (MSW) (1 of these had another chronic disease and saw MSW dedicated to this disease-team) and 14 had at least one consultation with a paediatric clinical psychologist. There is a clear deficit of MSW and paediatric psychology input in the management of these adolescents. Conclusion Active screening for diabetic control risk factors as well as appropriate funding to support team-specific MSW and psychology input for high-risk patients is urgently required to meet current best practice guidelines.enhttps://creativecommons.org/licenses/by-nc-sa/4.0/type 1 diabetespaediatrics diabetesHealth sciencesArticlehttps://imj.ie/archive/(3) Good Health and Well-being