, Parental anxiety appears to be a salient factor in T1D management in young children and treatment of parent anxiety may improve child health outcomes. The impact of anxiety on dietary management may be related to hypoglycemia fear and can provide a specific avenue for intervention. The direction of the relationship between anxiety and A1c is not presently known yet may be better understood with the completion of the RCT. Parental involvement is identified as a key factor in optimal management of pediatric diabetes. Further, research shows mothers are often primary care givers such that maternal psychological adjustment and its relation to children's disease care management are surprisingly understudied. Baseline data were analyzed from 179 mothers of generally middle-class young adolescents with T1D in a multi-site RCT. Mothers completed questionnaires and were interviewed about family functioning and diabetes management. On average, mothers were 42 years old and completed 2 years of post secondary education. Half were employed full time outside the home and 25% had no outside work. On average, children were 12.9 years old (range 11-14 years), were generally in fair metabolic control (HbA1c=8.7%) and had diabetes for about 5 years. A significant portion, 23% of the sample, had clinically elevated (mild to severe) depressive symptoms. Mothers who endorsed depressive symptoms (N=41) were matched on SES and compared to nondepressed maternal caregivers. More mothers with depressive symptoms were employed full time (60%) and were single parents (35%) than others (46% and 22 %, respectively). No significant group differences were found in maternal age or education, child age, HbA1c, or disease onset age. However, mothers who endorsed clinically elevated symptoms also reported more fear of hypoglycemia and lower self-efficacy for diabetes tasks, although youths' metabolic control did not differ between groups.