medRxiv PreprintsInternational12 November 2026
BEYOND GLYCAEMIC CONTROL: SOCIAL DETERMINANTS, PSYCHOLOGICAL BURDEN, AND EARLY COMPLICATIONS MARKERS AMONG YOUNG ADULTS WITH TYPE 1 DIABETES IN SELECT CLINICS IN KENYA
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**Abstract** **Background** Young adults with type 1 diabetes (T1D) in low- and middle-income countries experience persistently poor glycaemic control despite improved insulin access. Evidence on the effects of social determinants of health (SDOH) on glycaemic control, complications, and psychological well-being remains limited, particularly in sub-Saharan Africa. We examined relationships between SDOH, psychological health, glycaemic control, and early complication markers among young adults with T1D in Kenya. **Methods** We conducted a multicentre cross-sectional study among 164 adults aged
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