Gestational diabetes & diabetes in pregnancy
Delayed Access to Insulin During Pregnancy
Authors' conclusion
Delays in insulin access during pregnancy are common and disproportionately affect Black women, with insurance-related barriers predominant.
Study context
- Population
- Pregnant patients with GDM or preexisting T2D newly prescribed insulin during pregnancy, Mass General Brigham, June 2018–June 2024
- Participants
- 303 patients
- Exposure
- Delayed vs non-delayed insulin access
- Outcome
- Frequency of delay in insulin access (≥7 days between prescription and dispensing)
Methodological detailselectronic health record review, multivariable logistic regression
- Electronic health record review
- Multivariable logistic regression
Main finding
As reported in the abstract
Delayed insulin access
Experienced delayed insulin access
15.5%
Observational data: associations, not effects.
Further findings
Factors associated with delay (multivariable analysis)
| OR (95% CI) | P value | ||
|---|---|---|---|
| Black race | 6.01 (2.45–14.76) | P < 0.001 | |
| High SVIBorderline significance | 2.07 (0.996–4.304) | P = 0.05 | |
| 0.050.21520Odds ratio (log scale) |
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Factors associated with delay (multivariable analysis)Prescription year 2022-2024vs 2018-2021 | 2.35 (1.10–5.01) | P = 0.02 | |
| 0.20.5125Odds ratio (log scale) |
| Outcome | Estimate | P value |
|---|---|---|
| Characteristics: delayed vs non-delayedDelayed vs Non-delayed | Black race 33.3% vs 8.2% | P < 0.001 |
| Characteristics: delayed vs non-delayedDelayed vs Non-delayed | Single marital status 38.3% vs 20.6% | P = 0.009 |
| Characteristics: delayed vs non-delayedDelayed vs Non-delayed | Interpreter requirement 14.9% vs 5.5% | P = 0.019 |
| Characteristics: delayed vs non-delayedDelayed vs Non-delayed | Residence in high-SVI areas 51% vs 30.5% | P = 0.01 |
Common barriers to access
- Insurance-related
- 46.8%
- Patient preference
- 27.6%
Original publication
Delayed Access to Insulin During Pregnancy. Endocr Pract. Published 30 March 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →