OBSERVATIONS Dietary Quality in Adolescents With

Recent data demonstrate that youthwith type 1 diabetes are notmeetingestablished nutrition guidelines. However, comprehensive assessments of overall dietary quality in these youth are lacking, and it is unclear whether their dietary quality differs from that of their peers without diabetes. Therefore, we assessed comprehensive dietary quality in 50 adolescents with type 1 diabetes (mean age 14.9 6 1.9 years, 54 % male, 80 % non-Hispanic white, 65 % with household income #75,000 USD, diabe-tes duration 6.2 6 4.0 years, and HbA1c 8.9 6 1.5%) and 40 demographically similar adolescents without diabetes (mean age 14.9 6 1.9 years, 48 % male, 85 % non-Hispanic white, and 59 % with household income #75,000 USD) and sought to identify correlates of dietary quality. Individuals with other conditions affecting dietary intake (e.g., celiac dis-ease) were excluded. This study has insti-tutional review board approval. Dietary quality was assessed via U.S. Department of Agriculture–validated Healthy Eating Index-2005 (HEI), calculated from stan-dardized 24-h food recalls; good dietary quality is defined as a score of 81–100 (1). Youth with diabetes completed validated questionnaires of carbohydrate knowl-edge (PedsCarbQuiz [PCQ]), diabetes self-care adherence (Self Care Inventory [SCI]), and diabetes-related quality o