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Over the last 5 years, individual diabetes management costs have increased 26%, with the average diabetes patient spending $16,752 per year and those with type 1 diabetes mellitus (T1DM) paying a disproportionately higher amount than their type 2 counterparts. With T1DM diagnoses increasing by around 40,000 each year and the majority of diagnoses among adolescents and emerging adults approaching financial independence with limited funds, young T1DM patients and their partners may experience relational strain that often accompanies financial stress. Using data from a nationally representative sample of over 2,000 young married couples involved in the CREATE study, we identified 16 couples wherein one partner had T1DM. Among these, 8 wives had T1DM and 8 husbands had T1DM. For comparisons, we matched these couples with others in the CREATE study based on household income …