Objectives Early‐life nutrition is a predisposing factor for later‐life outcomes. This study tests the hypothesis that subadults from medieval Trino Vercellese, Italy, who lived to adulthood consumed isotopically different diets compared with subadults who died before reaching adulthood. We have previously used a life history approach, comparing dentine and bone of the same adult individuals (“subadults who lived”), to elucidate dietary variation across the life span. Here, we examine diets of “subadults who died” from the same population, estimated from subadult rib collagen, to explore whether dietary behaviors of subadults who lived differed from those of subadults who died. Methods Forty‐one subadults aged six months to 14.5 years were studied through stable carbon and nitrogen isotope analysis of collagen. Results Individuals were weaned by age 4 years, with considerable variation in weaning ages overall. Post‐weaning, diets of subadults who died comprised significantly less animal protein than diets of subadults who lived. Isotopic values of the two oldest individuals, 13.5 and 14.5 years, show the same status‐based variation in diet as do adults from the population. Conclusions Our results suggest that incorporating animal protein in diet during growth and development supported medieval subadults' ability to survive to adulthood. Isotopic similarities between adults and older subadults suggest “adult” dietary behaviors were adopted in adolescence. Stable isotope evidence from subadults bridges a disparity between ontogenetic age categories and socioculturally meaningful age categories in the past, and sheds light on the underpinnings of health, mortality, growth, and disease in the bioarchaeological record. Am J Phys Anthropol 160:653–664, 2016. © 2016 Wiley Periodicals, Inc.