Technology use and clinical outcomes in a racial-ethnic minority cohort of children and adolescents with type 1 diabetes.


Journal

Journal of pediatric endocrinology & metabolism : JPEM
ISSN: 2191-0251
Titre abrégé: J Pediatr Endocrinol Metab
Pays: Germany
ID NLM: 9508900

Informations de publication

Date de publication:
15 Dec 2023
Historique:
received: 16 07 2023
accepted: 02 10 2023
medline: 29 11 2023
pubmed: 18 10 2023
entrez: 18 10 2023
Statut: epublish

Résumé

Technology use has been shown to improve diabetes control, but minority youths tend to have low rates of technology use and exhibit suboptimal glycemic control. We examined the impact of continuous glucose monitors (CGM) and continuous subcutaneous insulin infusion (CSII) on glycemic control in a racial-ethnic minority cohort of children and adolescents with type 1 diabetes (T1D). A cross-sectional study was conducted among 140 pediatric T1D patients seen at a multidisciplinary clinic. From January to November 2022, data on demographics and glycated hemoglobin (HbA The majority identified as Hispanic (79 %) and had public health insurance (71 %). Sixty-nine percent used technology. Compared with non-technology users, technology users had significantly lower mean HbA Technology users demonstrated better glycemic control than non-technology users. Further research is needed to investigate factors affecting glycemic control in minority youths with T1D.

Identifiants

pubmed: 37852007
pii: jpem-2023-0334
doi: 10.1515/jpem-2023-0334
doi:

Substances chimiques

Hypoglycemic Agents 0
Insulin 0
Blood Glucose 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1128-1132

Informations de copyright

© 2023 the author(s), published by De Gruyter, Berlin/Boston.

Références

IDF diabetes atlas 10th edition [Internet] . Available from: www.diabetesatlas.org .
Foster, NC, Beck, RW, Miller, KM, Clements, MA, Rickels, MR, DiMeglio, LA, et al.. State of type 1 diabetes management and outcomes from the T1D exchange in 2016–2018. Diabetes Technol Therapeut 2019;21:66–72. https://doi.org/10.1089/dia.2018.0384 .
doi: 10.1089/dia.2018.0384
Mi, M, Badireddy, M. Hyperglycemia . In: StatPearls [Internet] . StatPearls Publishing: Treasure Island, FL; 2023.
Zimmerman, C, Albanese-O’Neill, A, Haller, MJ. Advances in type 1 diabetes technology over the last decade. Eur Endocrinol 2019;15:70. https://doi.org/10.17925/ee.2019.15.2.70 .
doi: 10.17925/ee.2019.15.2.70
Alcántara-Aragón, V. Improving patient self-care using diabetes technologies. Ther Adv Endocrinol Metab 2019;10:2042018818824215. https://doi.org/10.1177/2042018818824215 .
doi: 10.1177/2042018818824215
Sawyer, A, Sobczak, M, Forlenza, GP, Alonso, GT. Glycemic control in relation to technology use in a single-center cohort of children with type 1 diabetes. Diabetes Technol Therapeut 2022;24:409–15. https://doi.org/10.1089/dia.2021.0471 .
doi: 10.1089/dia.2021.0471
Diabetes Technology. Standards of medical care in diabetes—2019. Diabetes Care 2019;42:S71–80. https://doi.org/10.2337/dc19-s007 .
doi: 10.2337/dc19-s007
Bacha, F, Cheng, P, Gal, RL, Beaulieu, LC, Kollman, C, Adolph, A, et al.. Racial and ethnic disparities in comorbidities in youth with type 2 diabetes in the pediatric diabetes consortium (PDC). Diabetes Care 2021;44:2245–51. https://doi.org/10.2337/dc21-0143 .
doi: 10.2337/dc21-0143
Dimentstein, K, Greenberg, BA, Valenzuela, JM. Involvement of racially and ethnically minoritized youths in behavioral type 1 diabetes interventions: a systematic review. J Pediatr Psychol 2023;48:428–47. https://doi.org/10.1093/jpepsy/jsad018 .
doi: 10.1093/jpepsy/jsad018
Lipman, TH, Smith, JA, Patil, O, Willi, SM, Hawkes, CP. Racial disparities in treatment and outcomes of children with type 1 diabetes. Pediatr Diabetes 2021;22:241–8. https://doi.org/10.1111/pedi.13139 .
doi: 10.1111/pedi.13139
Moore, JM, Snell-Bergeon, JK. Trajectories of hemoglobin A1c and body mass index z-score over four decades among 2 to 18 year olds with type 1 diabetes. Pediatr Diabetes 2019;20:594–603. https://doi.org/10.1111/pedi.12862 .
doi: 10.1111/pedi.12862
Tsai, D, Flores Garcia, J, Fogel, JL, Wee, CP, Reid, MW, Raymond, JK. Diabetes technology experiences among latinx and non-latinx youth with type 1 diabetes. J Diabetes Sci Technol 2022;16:834–43. https://doi.org/10.1177/19322968211029260 .
doi: 10.1177/19322968211029260
Addala, A, Auzanneau, M, Miller, K, Maier, W, Foster, N, Kapellen, T, et al.. A decade of disparities in diabetes technology use and HbA1c in pediatric type 1 diabetes: a transatlantic comparison. Diabetes Care 2021;44:133–40. https://doi.org/10.2337/dc20-0257 .
doi: 10.2337/dc20-0257
Maahs, DM, Addala, A, Shalitin, S. Diabetes technology and therapy in the pediatric age group. Diabetes Technol Therapeut 2022;24:S-107–28. https://doi.org/10.1089/dia.2022.2507 .
doi: 10.1089/dia.2022.2507
Majidi, S, Wadwa, RP, Bishop, FK, Klingensmith, GJ, Rewers, M, McFann, K, et al.. The effect of insurance status and parental education on glycemic control and cardiovascular disease risk profile in youth with Type 1 Diabetes. J Diabetes Metab Disord 2014;13:59. https://doi.org/10.1186/2251-6581-13-59 .
doi: 10.1186/2251-6581-13-59
Vigersky, RA, McMahon, C. The relationship of hemoglobin A1C to time-in-range in patients with diabetes. Diabetes Technol Therapeut 2019;21:81–5. https://doi.org/10.1089/dia.2018.0310 .
doi: 10.1089/dia.2018.0310
Vrany, EA, Hill-Briggs, F, Ephraim, PL, Myers, AK, Garnica, P, Fitzpatrick, SL. Continuous glucose monitors and virtual care in high-risk, racial and ethnic minority populations: toward promoting health equity. Front Endocrinol 2023;14:1083145. https://doi.org/10.3389/fendo.2023.1083145 .
doi: 10.3389/fendo.2023.1083145
Loomba, L, Bonanno, S, Arellano, D, Crossen, S, Glaser, N. Disparities in insulin pump use among Spanish-speaking children with type 1 diabetes compared to their non-hispanic white peers: mixed methods study. JMIR Diabetes 2023;8:e45890. https://doi.org/10.2196/45890 .
doi: 10.2196/45890
Lai, CW, Lipman, TH, Willi, SM, Hawkes, CP. Racial and ethnic disparities in rates of continuous glucose monitor initiation and continued use in children with type 1 diabetes. Diabetes Care 2021;44:255–7. https://doi.org/10.2337/dc20-1663 .
doi: 10.2337/dc20-1663
Kanbour, S, Jones, M, Abusamaan, MS, Nass, C, Everett, E, Wolf, RM, et al.. Racial disparities in access and use of diabetes technology among adult patients with type 1 diabetes in a U.S. Academic medical center. Diabetes Care 2023;46:56–64. https://doi.org/10.2337/dc22-1055 .
doi: 10.2337/dc22-1055
American Diabetes Association Professional Practice Committee . Glycemic targets: Standards of medical Care in diabetes—2022. Diabetes Care 2022;45:S83-96. https://doi.org/10.2337/dc22-s006 .
doi: 10.2337/dc22-s006
Aleppo, G. Clinical application of time in range and other metrics. Diabetes Spectr 2021;34:109–18. https://doi.org/10.2337/ds20-0093 .
doi: 10.2337/ds20-0093
Beck, RW, Bergenstal, RM, Cheng, P, Kollman, C, Carlson, AL, Johnson, ML, et al.. The relationships between time in range, hyperglycemia metrics, and HbA1c. J Diabetes Sci Technol 2019;13:614–26. https://doi.org/10.1177/1932296818822496 .
doi: 10.1177/1932296818822496
Mendenhall, E, Shivashankar, R, Tandon, N, Ali, MK, Narayan, KMV, Prabhakaran, D. Stress and diabetes in socioeconomic context: a qualitative study of urban Indians. Soc Sci Med 2012;75:2522–9. https://doi.org/10.1016/j.socscimed.2012.09.040 .
doi: 10.1016/j.socscimed.2012.09.040
Raj, R, Nguyen, M, Pozzo, AM, Marsac, ML, Vselvoshakaya, O, Meadows, AL. Effects of trauma and anxiety on adherence in pediatric type 1 diabetes. Diabetes Spectr 2022;35:171–8. https://doi.org/10.2337/ds21-0024 .
doi: 10.2337/ds21-0024
van Duinkerken, E, Snoek, FJ, de Wit, M. The cognitive and psychological effects of living with type 1 diabetes: a narrative review. Diabet Med 2020;37:555–63. https://doi.org/10.1111/dme.14216 .
doi: 10.1111/dme.14216
Wisting, L, Wonderlich, J, Skrivarhaug, T, Dahl-Jørgensen, K, Rø Ø. Psychometric properties and factor structure of the diabetes eating problem survey – revised (DEPS-R) among adult males and females with type 1 diabetes. J Eat Disord 2019;7:2. https://doi.org/10.1186/s40337-018-0232-0 .
doi: 10.1186/s40337-018-0232-0

Auteurs

Daniela Baboun (D)

Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA.
Department of Endocrinology, Nicklaus Children's Hospital, Miami, FL, USA.

Natalia Solano (N)

University of Chicago, Chicago, USA.
Department of Endocrinology, Nicklaus Children's Hospital, Miami, FL, USA.

Victoria Del Toro (V)

Department of Endocrinology, Nicklaus Children's Hospital, Miami, FL, USA.
Vanderbilt University, Nashville, USA.

Rose Alvarez-Salvat (R)

Department of Endocrinology, Nicklaus Children's Hospital, Miami, FL, USA.

Andrea Granados (A)

Department of Endocrinology, Nicklaus Children's Hospital, Miami, FL, USA.

Adriana Carrillo-Iregui (A)

Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA.
Department of Endocrinology, Nicklaus Children's Hospital, Miami, FL, USA.

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