Factors Associated With Time to Automated Insulin Delivery System Initiation in Youth With Type 1 Diabetes
Authors' conclusion
The process of starting an AID system can be lengthy, with factors such as longer diabetes duration and high area deprivation being associated with delays in the process. Future interventions could address these factors by encouraging early AID system discussions and providing additional social support to improve the efficiency of the AID initiation process.
Study context
- Population
- Insulin pump naive youth with T1D who decided to initiate an automated insulin delivery (AID) system after May 2022, Johns Hopkins Diabetes Center; median age 12.4, 57% male, 58.9% non-Hispanic white, 4.4% Hispanic, median diabetes duration 0.3 years
- Participants
- 270 participants
- Outcome
- Time from decision to start an AID system to actual initiation of AID therapy (TT-AID)
Methodological detailssingle-centre, time-to-event analysis
- Single-centre
- Time-to-event analysis
Main finding
As reported in the abstract
Median time to AID (TT-AID)
43.5 days
Longest interval: prescription to pre-AID training (median)
37.5 days
Observational data: associations, not effects.
Further findings
TT-AID by diabetes duration >1 year
- TT-AID increased significantly with diabetes duration greater than one year
- P = 0.0002
TT-AID by area deprivation index
- Higher area deprivation index associated with longer TT-AID, HR
- 0.95; P = .023
TT-AID by insurance type or type of AID system
- No significant differences in TT-AID based on insurance type or type of AID system
Original publication
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