INS and type 1 diabetes mellitus: These patterns of avoidance and disengagement are associated with poorer metabolic control.45 They are also linked with problems in social competency,45 which make adolescents who live with T1D vulnerable,46 because they may not adhere to their management protocols such as injecting insulin when they are with peers,47 nor disclose their diagnosis out of fear for rejection.48 The present study confirmed these findings.