I love that question, because indeed, youth with type 2 diabetes are more at risk of binge eating and depression. In fact, at baseline, in some of the studies, 15% already have symptoms of depression. In addition, those who are obese, which is 95% of them, often live a lot of deleterious experiences. Their self-esteem is low. Their body image is low. They're often victims of bullying. And don't kid yourself. Bullying is not just in the schoolyard. It's also at home, with family members making derogatory comments about the person's weight. It's a very important problem.
Certainly in Quebec, clinicians have very few tools to address this. There are very few psychologists and psycho-educators there to support us. That's something we've integrated within our CIRCUIT program, because we felt it was very important to empower these families to make lifestyle changes and support their kids through some of the challenges they are living with.