Objectives To explore mental and somatic health, quality of life, alcohol-related problems, sleep problems, and diabetes related distress in university students with type 1 diabetes (T1D), compared to students without T1D. Further, we evaluated associations with gender, treatment modalities, and achieved metabolic control. Methods All fulltime Norwegian students aged 18–35 years pursuing higher education in 2018 (n=162.512) were invited into a comprehensive national survey on health and well-being. Students that stated having diabetes was asked further questions about their diabetes care. Results Of 49,684 participating students, 324 participants stated having T1D. Students with T1D did not show more mental or somatic health symptoms, or report a higher level of loneliness. However, T1D was significantly associated with lower quality of life (QoL). Students with good metabolic control reached the same QoL as students without T1D. Mental disorders and suicidality were associated with lacking metabolic control. The proportion of unhealthy drinking habits was generally low, and even lower in students with T1D. Sleeping patterns were generally good, but students using continuous glucose measurement were awakening more often during sleep. Females with T1D showed higher levels of diabetes related problems and distress, but good metabolic control was associated with lower diabetes distress level. Conclusions Students with T1D scored equally on most mental and somatic health scales. Their quality of life was significantly worse compared to their healthy peers. Knowledge on the impact of metabolic control, gender and the use of CSII and CGM can be valuable for the caretakers of young adults with T1D.

中文翻译：

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1 型糖尿病大学生的心理和躯体健康：DiaSHoT18 的新结果，一项横断面的全国健康和福祉调查

目的 探讨与非 T1D 学生相比，患有 1 型糖尿病 (T1D) 的大学生的心理和躯体健康、生活质量、酒精相关问题、睡眠问题和糖尿病相关困扰。此外，我们评估了与性别、治疗方式和实现代谢控制的关联。方法 所有在 2018 年接受高等教育的 18-35 岁的全日制挪威学生（n=162.512）都被邀请参加一项关于健康和福祉的综合全国调查。声称患有糖尿病的学生被问及关于他们的糖尿病护理的进一步问题。结果 在 49,684 名参与学生中，324 名参与者表示患有 T1D。患有 T1D 的学生没有表现出更多的心理或躯体健康症状，也没有报告更高程度的孤独感。然而，T1D 与较低的生活质量 (QoL) 显着相关。代谢控制良好的学生达到与没有 T1D 的学生相同的 QoL。精神障碍和自杀倾向与缺乏代谢控制有关。不健康饮酒习惯的比例普遍较低，在 T1D 学生中甚至更低。睡眠模式一般都很好，但使用连续血糖测量的学生在睡眠期间更频繁地醒来。患有T1D的女性表现出较高的糖尿病相关问题和痛苦水平，但良好的代谢控制与较低的糖尿病痛苦水平相关。结论 患有 T1D 的学生在大多数心理和躯体健康量表上的得分相同。与健康的同龄人相比，他们的生活质量明显更差。有关代谢控制、性别以及 CSII 和 CGM 使用的影响的知识对于 T1D 年轻成人的护理人员可能很有价值。