Type 1 diabetes (T1D) is one of the most common systemic diseases in childhood which predisposes the patient to serious short-term and long-term complications, affecting all body systems. Taste and olfactory impairments were first described a long time ago in adult patients affected by diabetes (both type 1 and type 2 diabetes). However, studies evaluating taste perception, behavioral attitudes (e.g., food neophobia), and preferences toward foods in children and adolescents affected by T1D are globally lacking. Therefore, the purpose of this study was to assess taste sensitivity, food neophobia, and preferences among children and adolescents affected by T1D and healthy controls in a cross-sectional study. T1D patients presented a significantly lower ability in general to correctly identify taste qualities, especially bitter and sour tastes. Moreover, they were characterized by fewer fungiform papillae compared to controls, as well as a lower responsiveness to the bitter compound 6-n-propylthiouracil (PROP). There were no significant differences in food neophobia scores between the two groups, but differences were observed in the mean hedonic ratings for some product categories investigated. Diabetic patients showed a greater liking for certain type of foods generally characterized by sourness and bitterness, an observation probably linked to their impaired ability to perceive taste stimuli, e.g., sourness and bitterness. These results may help to enhance the understanding of these relationships in populations with elevated diet-related health risks.Nutrients 2019, 11, 3052 2 of 12 showed that T1D was associated with a reduction in gustatory function [3,5,7], with impairments mostly found with respect to the sweet taste perception in comparison to other taste modalities [10,11]. In addition, Pavlidis and colleagues [12] found impairments in the density and morphology of the fungiform papillae (FP) among patients with diabetes, which are the gustatory anatomical structures containing taste buds.Data in the literature suggest that the inherited ability to perceive bitter thiourea compounds, such as 6-n-propylthiouracil (PROP), may be a surrogate measure of taste perception and a marker for increased health risk. Variation in taste responsiveness to PROP has been linked to various health disorders, including obesity [13] and diabetes [14]. However, related data are still scarce and controversial, probably due to differences in the methodologies used to evaluate taste perception and the involved subjects (e.g., those affected by type 1 or type 2 diabetes).Contradictory results were also reported when the associations between taste impairment and metabolic control, disease duration, and the presence of diabetes-related complications were studied [10,11,15]. However, this field of research remains largely unexplored.Notably, to the best of our knowledge, studies evaluating taste perception in children and adolescents affected by T1D are lacking globally. Since T1D disease occurs mostly in this younger age group, knowled...