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AuDHD and type 1 diabetes

Having both autism and ADHD can be challenging when managing Type 1 diabetes. Get information and advice about how to support your child with AuDHD.
Content last reviewed and updated: 30.01.2025

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What is AuDHD?

AuDHD is when someone has both Autism Spectrum Condition (ASC) and attention deficit hyperactivity disorder (ADHD). It is often called AuDHD, though this is not a medical term. Having both conditions can make managing type 1 diabetes more challenging.

How can AuDHD affect T1D management?

Children with AuDHD experience characteristics of both autism and ADHD, such as being sensitive to sensory things like taste or touch, having difficulty focusing, or tending to hyper-focus on certain activities. These traits can make managing T1D more difficult.

For example, someone with AuDHD might be highly sensitive to alarms from continuous glucose monitors but struggle to take action to treat their low blood sugar. They might enjoy eating the same foods every day, but then suddenly lose interest in them due to sensory issues or changing tastes.

Challenges in diabetes management for children with AuDHD

Managing T1D means that the same tasks need to be done consistently and repetitively. Children with AuDHD may find this routine frustrating or restrictive, as both autism and ADHD can affect how they respond to rules and structure. One moment, a child with AuDHD may do everything they need to manage their type 1 diabetes, but the next moment, they might feel overwhelmed and unable to.

Here are a few specific challenges they might encounter:

  • Sensory sensitivities: Sounds from insulin pumps or continuous glucose monitors (CGMs) can feel overwhelming, leading to increased anxiety or avoidance.
  • Attention and focus: Managing diabetes requires several steps, which can be hard to remember or follow when a child is easily distracted or impulsive.
  • Routine and change: Children with AuDHD often like consistent routines but may quickly change their food preferences, making it challenging to count carbs and monitor glucose levels.

Supporting children with AuDHD and T1D

With the right support system in place, children with AuDHD can successfully manage their type 1, allowing them to focus on what matters most: growing, learning, and thriving.

Emotional needs

Understanding and addressing the emotional needs of children with AuDHD is very important to help manage their T1D. When children feel calm and supported, they are more likely to engage with their diabetes care.

Identify your child’s strengths and challenges

Every child with AuDHD is unique, so recognising their specific strengths and difficulties can guide effective problem-solving and support strategies.

Make use of technology

Hybrid closed loop systems (sometimes called the artificial pancreas) automatically deliver insulin based on glucose readings. This automates many of the decisions that you have to make on a daily basis when you have type 1 diabetes and can give you and your child more peace of mind.

Seek specialist support

Working with a psychologist or behavioural specialist who understands both autism and ADHD can help children develop coping skills. This may help them improve their skills in managing T1D. Encouraging any psychological or behavioural specialists to communicate with your child’s Diabetes Healthcare Team will help each specialist understand the impact of having both AuDHD and T1D.

This content was created by Dr Jacq Allan, Psychologist: Children’s Diabetes Team.

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