Specific Complications for Adolescents. Blood sugar control is a major problem in adolescents with type 1 diabetes, who are at high risk for permanent damage in small vessels, such as those in the eyes. Up to one third of young women with type 1 diabetes have eating disorders resulting in under use of insulin to lose weight. Anorexia and bulimia pose significant health dangers, particularly in people with diabetes. One study found that young people with diabetes have a higher than average rate of suicidal fantasies.

Although the actual rate of suicide was no higher than that of their non-diabetic peers, such thoughts are strongly associated with self-destructive behavior, including low treatment compliance. Adolescents with diabetes are at higher risk than adults for ketoacidosis resulting from non-compliance..

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