Impact of Removing Restrictive Haemoglobin A1c (A1C) Eligibility Criteria for Insulin Pump Therapy Funding for Children With Type 1 Diabetes in Ontario, Canada
Main finding · Odds of greater social disadvantageResult — go to the resultOdds ratio 1.32 95% CI 1.18–1.47Authors' conclusion
Removal of A1C-based eligibility may improve equity in paediatric insulin pump access, though longer follow-up is needed.
Study context
- Population
- All children with T1D in Ontario who applied for insulin pump funding from program inception to 31 March 2024
- Participants
- 1,311 vs 7,540
- Exposure
- Post-policy vs pre-policy change
- Post-policyn = 1,311
- Pre-policyn = 7,540reference
- Outcome
- Social disadvantage, measured using a five-level neighbourhood index
Methodological detailsordinal logistic regression with generalised estimating equations, segmented regression
- Ordinal logistic regression with generalised estimating equations
- Segmented regression
Main finding
Odds of greater social disadvantage
Odds ratio
1.32
95% CI 1.18–1.47
Post-policyvs Pre-policy
OR 1.32 (95% CI 1.18–1.47)
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Pre-policy | Post-policy | P value |
|---|---|---|---|
| Mean A1C at application | 8.5% | 8.3% | P = 0.0002 |
| Change in difference in applications between most vs least disadvantaged quintileNot statistically significant | −0.13 (CI −0.22–-0.05) %/quarter | −1.64 (CI −8.3–5.0) %/quarter | P = 0.1 |
Mean A1C at application
- Mean A1C at application was similar between time periods
Original publication
Impact of Removing Restrictive Haemoglobin A1C Eligibility Criteria for Insulin Pump Therapy Funding for Children With Type 1 Diabetes in Ontario, Canada. Diabetes Obes Metab. Published 28 May 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →