Diabetes care practices and outcomes in 40.000 children and adolescents with type 1 diabetes from the SWEET registry during the COVID-19 pandemic
Authors' conclusion
Changes to models of care delivery driven by the pandemic showed significant associations with HbA1c shortly after the pandemic outbreak and 2 years of follow-up. The association appeared independent of the concomitant increase in technology use among youth with type 1 diabetes.
Study context
- Population
- Youth with T1D (duration >3 months, aged ≤21 years) in SWEET registry centers, 2018–2021
- Participants
- 42,798 participants70 centers
- Exposure
- Changes to models of care delivery during COVID-19
- Outcome
- HbA1c trend 2018–2021 by care model
- Follow-up
- 2018 to 2021
Methodological detailsonline questionnaire, international registry (SWEET), Questionnaire sent to 97 centers (66,985 youth with T1D); 82 responded
- Online questionnaire
- International registry (SWEET)
- Questionnaire sent to 97 centers (66,985 youth with T1D); 82 responded
Main finding
As reported in the abstract
- Partial telemedicine centers: steady increase in HbA1c between 2018 and 2021
- p < 0.001
- Mainly telemedicine centers: improved HbA1c in 2021 vs 2018
- p < 0.001
Observational data: associations, not effects.
Further findings
Telemedicine provision during COVID-19
- Centers providing telemedicine during COVID-19
- 65
- Telemedicine-naive centers before pandemic
- 22
- Of telemedicine-naive centers, continued only face-to-face visits
- 4
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Diabetes care practices and outcomes in 40.000 children and adolescents with type 1 diabetes from the SWEET registry during the COVID-19 pandemic. Diabetes Res Clin Pract. Published 27 June 2023. doi:10.
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