Diabetes technology

Association of Race and Ethnicity with Prescriptions for Continuous Glucose Monitoring Systems Among a National Sample of Veterans with Diabetes on Insulin Therapy

Diabetes Technol TherPublished Cross-sectional study

Authors' conclusion

Among Veterans with diabetes on insulin therapy, there were significant disparities in prescribing of CGM technology by race and ethnicity, which require further study and intervention.

Study context

Population
Adults with T1D or T2D on insulin therapy, U.S. Veterans Health Administration; mean age 68.5 years, 96% male, 96.8% T2D
Participants
368,794 adults
Exposure
Continuous glucose monitoring (CGM) prescription by race and ethnicity
Outcome
Percentage of patients with ≥1 CGM prescription
Follow-up
January 1, 2020, to December 31, 2021
Methodological detailsnational sample, multilevel, multivariable mixed-effects models
  • National sample
  • Multilevel, multivariable mixed-effects models

Main finding

As reported in the abstract

CGM prescription
Adjusted for patient-, clinical- and system-level factors
Adjusted odds ratio (95% CI)
Black or African Americanvs White
0.62(0.59–0.64)
Hispanic or Latinovs Non-Hispanic
0.79(0.74–0.84)
Overall prescribed CGM
11.2%

Observational data: associations, not effects.

Further findings

Findings were consistent across subgroups with clinical indications for CGM use

Original publication

Association of Race and Ethnicity with Prescriptions for Continuous Glucose Monitoring Systems Among a National Sample of Veterans with Diabetes on Insulin Therapy. Diabetes Technol Ther. Published 23 August 2024. doi:10.1089/dia.2024.0152

Composed by AI from the published abstract and checked against it. How Briefs are made →

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