Diabetes technology

Characteristics associated with having a hemoglobin A1c ≤ 7 % (≤53 mmol/mol) among adults with type 1 diabetes using an automated insulin delivery system

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Our study indicates that among AID users, in order to maximize benefits, additional support is needed for those who do not have a bachelor's degree and/or who have been using an insulin pump for a long time.

Study context

Population
Adults aged ≥ 18 years with T1D using a commercial automated insulin delivery (AID) system, with a reported HbA1c range value; 61.8 % females, median age 43.0 (30.0, 55.0) years, median T1D duration 24.0 (16.0, 36.0) years
Participants
131 adults
Exposure
Characteristics of AID users with HbA1c ≤ 7 % vs > 7 %
  • HbA1c ≤ 7 %n = 57
  • HbA1c > 7 %n = 74reference
Outcome
Characteristics associated with having an HbA1c ≤ 7 % (≤53 mmol/mol)
Methodological detailsregistry-based (T1D BETTER registry)
  • Registry-based (T1D BETTER registry)

Main finding

As reported in the abstract

Reporting an HbA1c ≤ 7 % when using an AID
Odds ratio (95 % CI)P value
Bachelor's degree or abovemore likely to report HbA1c ≤ 7 %
3.04(1.22–7.58)
P = 0.017
Longer duration of pump useless likely to report HbA1c ≤ 7 %
0.90(0.84–0.98)
P = 0.009

Observational data: associations, not effects.

Original publication

Characteristics associated with having a hemoglobin A1c ≤ 7 % (≤53 mmol/mol) among adults with type 1 diabetes using an automated insulin delivery system. Diabetes Res Clin Pract. Published 10 November 2023. doi:10.1016/j.diabres.2023.111006

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