Diabetes technology

Increased Technology Use Associated With Lower A1C in a Large Pediatric Clinical Population

Diabetes CarePublished Retrospective cohort study

Authors' conclusion

Adoption of CGM and HCL was associated with decreased A1C, suggesting promotion of these technologies may yield glycemic benefits.

Study context

Population
Patients aged <22 years with T1D duration >3 months, single center; grouped by MDI or insulin pump, with or without hybrid closed-loop (HCL), and blood glucose monitor or CGM1,455 patients
Participants
2,827 vs 2,731
Exposure
Technology use and HbA1c in 2016-2017 vs 2020-2021
  • 2016-2017n = 2,827reference
  • 2020-2021n = 2,731
Outcome
Glycemic control (HbA1c)
Methodological detailssingle-centre, linear mixed-effects models adjusted for age, diabetes duration and race/ethnicity
  • Single-centre
  • Linear mixed-effects models adjusted for age, diabetes duration and race/ethnicity

Main finding

As reported in the abstract

Overall A1C · 2016-2017 to 2020-2021

Overall A1C decreased

from 8.9 to 8.6%

P < 0.0001

Observational data: associations, not effects.

Further findings

CGM use · 2016-2017 to 2020-2021

CGM use increased
from 32.9 to 75.3%

HCL use · 2016-2017 to 2020-2021

HCL use increased
from 0.3 to 27.9%

Original publication

Increased Technology Use Associated With Lower A1C in a Large Pediatric Clinical Population. Diabetes Care. Published 6 April 2023. doi:10.2337/dc22-2121

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