Characteristics associated with having a hemoglobin A1c ≤ 7 % (≤53 mmol/mol) among adults with type 1 diabetes using an automated insulin delivery system
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 = 0.017Longer duration of pump useless likely to report HbA1c ≤ 7 %
0.90(0.84–0.98)
P = 0.009Observational 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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