HbA1c and Disordered Eating Behaviors Trends in Adolescents with Type 1 Diabetes following the Implementation of Insulin Pump Therapy
Authors' conclusion
Despite insulin pump implementation, no significant overall changes were observed in HbA1c or DEB levels across the study period. However, adolescents using HCL systems showed reduced HbA1c, while levels remained elevated among those with DEB. Both HbA1c and DEB were higher in adolescents with body dissatisfaction, particularly those desiring thinner bodies. These findings highlight the need for targeted support during the adoption of diabetes technologies. Larger studies are warranted to guide effective interventions for this high-risk population. </p>.
Study context
- Population
- Adolescents with T1D aged 10–20 years, assessed before insulin pump implementation and at 2, 6 and 12 months after
- Participants
- 38 adolescents
- Outcome
- HbA1c and DEB trends following insulin pump implementation
- Follow-up
- Baseline, 2, 6 and 12 months
Methodological details12 months follow-up, Data from medical charts and self-reported questionnaires
- 12 months follow-up
- Data from medical charts and self-reported questionnaires
Main finding
As reported in the abstract
- HbA1c and disordered eating behaviors (DEB) levels showed no significant changes over time
Observational data: associations, not effects.
Further findings
HbA1c by DEB status
- Adolescents with DEB consistently had higher HbA1c than those without
- P = 0.003
HbA1c and DEB by body dissatisfaction
- HbA1c elevated with body dissatisfaction, particularly desiring thinner bodies
- P = 0.012
- DEB elevated with body dissatisfaction, particularly desiring thinner bodies
- P < 0.001
HbA1c trends by insulin delivery method
- HbA1c trends varied by insulin delivery method
- P = 0.005
- Greatest HbA1c reduction in hybrid closed-loop (HCL) system users
- P = 0.04
Original publication
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