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Navigating type 1 diabetes as a young couple: A qualitative analysis
Michelle L Litchman1, Nancy A Allen1, Eunjin L Tracy2
1College of Nursing, University of Utah, Salt Lake City, UT, USA.
Chronic Illness
|February 9, 2026
Summary
Young couples with type 1 diabetes (T1D) learn to integrate disease management into their relationship. Partners develop coping strategies, balancing support and autonomy for better relationship and clinical outcomes.
Area of Science:
- Endocrinology
- Psychology
- Sociology
Background:
- Type 1 diabetes (T1D) is a chronic condition requiring lifelong management.
- Interpersonal dynamics significantly influence T1D management, particularly for young adult couples.
- Integrating T1D care into a relationship presents unique challenges for couples.
Purpose of the Study:
- To explore the lived experiences of young adult couples navigating T1D management within their relationship.
- To understand how couples adjust and adapt to the dyadic management of T1D.
- To identify themes related to relationship adaptation and T1D care.
Main Methods:
- Qualitative study involving separate interviews with young adults (25-40 years) with T1D and their partners.
- Utilized a constant comparison approach for data analysis.
- Identified emergent themes from dyadic perceptions of T1D management.
Main Results:
- Three key themes emerged: incorporating T1D into the relationship, collaborative diabetes management, and parenting with T1D.
- Couples develop shared coping mechanisms for managing T1D.
- Partners learn to provide support without being overcontrolling.
Conclusions:
- Young adult couples adapt to T1D management as a unit.
- Partner education regarding T1D is crucial for relationship health.
- Early-stage couple-focused interventions may improve clinical and relational outcomes for T1D management.
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