Disparities in Time to Technology Initiation in the Year Following Diagnosis of Type 1 Diabetes Among Youth: A Retrospective Cohort Study
Authors' conclusion
These findings highlight the importance of developing interventions to advance diabetes technology use from onset of type 1 diabetes for all youth.
Study context
- Population
- Youth diagnosed with and treated for T1D, 2016–2020, at a children's hospital; 59% male, mean age at diagnosis 10.8 (±4.2) years
- Participants
- 692 participants
- Exposure
- Time to technology initiation by race/ethnicity, insurance and household structure
- Outcome
- Time to initiation of CGM, insulin pump therapy, or both
- Follow-up
- Year following diagnosis
Methodological detailssingle-centre (children's hospital), competing risks regression
- Single-centre (children's hospital)
- Competing risks regression
Main finding
As reported in the abstract
Technology initiation in the year after diagnosis
- Publicly insured youth had a lower likelihood of starting diabetes technologies than privately insured youth
- Black and Hispanic youth were less likely than White youth to start CGM and insulin pumps
- Youth from non-intact households had lower rates of technology uptake
- HRs for time to both technologies were comparable to those for time to insulin pump
Observational data: associations, not effects.
Original publication
Disparities in Time to Technology Initiation in the Year Following Diagnosis of Type 1 Diabetes Among Youth: A Retrospective Cohort Study. J Diabetes Sci Technol. Published 9 June 2025. doi:10.
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