Diabetes visits in paediatric versus adult clinics for young adults (YA) with T1D: Pre‐pandemic and pandemic care
Authors' conclusion
In this diabetes centre, the paediatric clinic maintained diabetes care delivery during the pandemic (30 March 2020 to 15 March 2021) to YA with glycaemic control above target, suggesting that preservation of remote care delivery should be considered in this high-risk group.
Study context
- Population
- Young adults (18–30) with T1D and a pre-pandemic HbA1c at a single diabetes centre; 54% male, age 24.0 ± 3.6 years, HbA1c 66 ± 18 mmol/mol (8.2 ± 1.6%)
- Participants
- 1,762 adults
- Exposure
- Pandemic vs pre-pandemic diabetes visits; paediatric vs adult diabetes clinics
- Outcome
- Diabetes visit frequency (in-person and telehealth), pre-pandemic vs pandemic
- Follow-up
- Pre-pandemic (1 April 2019 to 15 March 2020) and pandemic (30 March 2020 to 15 March 2021)
Methodological detailssingle-centre, electronic health record data
- Single-centre
- Electronic health record data
Main finding
As reported in the abstract
Visit frequency, full sample
Pre-pandemic
3.5
mean · SD 3.4
Pandemic
3.1
mean · SD 4.1
P < 0.0001
Observational data: associations, not effects.
Further findings
- Adult clinic: visit frequency declined regardless of sex, pump therapy, CGM use and pre-pandemic HbA1c
- Paediatric clinic: visit frequency reduced only for HbA1c <53 mmol/mol (<7%), otherwise maintained
Original publication
Diabetes visits in paediatric versus adult clinics for young adults (YA) with T1D: Pre‐pandemic and pandemic care. Diabet Med. Published 18 January 2025. doi:10.
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