Diabetes Device Downloading: Benefits and Barriers Among Youth With Type 1 Diabetes
Authors' conclusion
Retrospective glucose data review is associated with improved HbA1c when coupled with data-driven retroactive insulin adjustments. Barriers to data downloading existed even in this cohort of predominantly CGM-using T1D families.
Study context
- Population
- Caregivers of youth with T1D19% of 1003 eligible responded
- Participants
- 191 participants
- Exposure
- Caregivers performing retrospective review vs not
- Outcome
- Proportion of caregivers who perform retrospective review and make retroactive insulin adjustments
Methodological detailssurvey
- Survey
Main finding
As reported in the abstract
- Retrospective reviewers vs Non-reviewers: P = 0.0001
- Retrospective reviewers vs Non-reviewers: P = 0.004
- Retrospective reviewers vs Non-reviewers: P = 0.65
Observational data: associations, not effects.
Further findings
| Outcome | Retrospective reviewers | Non-reviewers | P value |
|---|---|---|---|
| HFS-behavior scoreSignificantly higher with review | 31.9 | 27.7 | P = 0.0002 |
| HFS-behavior scoreAdjusted for child's age and CGM use; remained higher | P = 0.005 |
HbA1c vs number of retroactive insulin adjustments (linear regression)
- Lower mean HbA1c per additional adjustment
- 0.24 percent, P = .02
Original publication
Diabetes Device Downloading: Benefits and Barriers Among Youth With Type 1 Diabetes. J Diabetes Sci Technol. Published 22 November 2021. doi:10.
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