Innovations: Using telemedicine to improve care of predominantly non-white youth with suboptimal insulin dependent diabetes control
Authors' conclusion
This intensive telehealth intervention provided interim glycemic improvement in a high-risk patient cohort. Further efforts to increase connection in vulnerable pediatric patient groups could help long-term diabetes management.
Study context
- Population
- Youth aged 8–18 with suboptimal insulin dependent diabetes control and Medicaid insurance, willing to use continuous glucose monitoring (CGM); 63 % female, 89 % Non-Hispanic Black, diabetes duration 6.2 ± 4.3 years, 22 % on pump therapy
- Participants
- 27 participants
- Comparison
- Intensive telehealth support vs baseline
- Telehealthn = 27
- Outcome
- HbA1c levels and hospitalization rates
- Follow-up
- 12 months
Methodological detailssingle-group, pre-post
- Single-group
- Pre-post
Main finding
As reported in the abstract
HbA1c
Mean HbA1c at baseline
12.4 %±1.8
112 mmol/mol
Mean HbA1c at 12 months, sustained improvement vs baseline
10.8 %±2.2
95 mmol/molp = 0.02
Further findings
HbA1c at 3 months vs baseline
- Mean HbA1c at 3 months
- 11.5 %±2.8 (102 mmol/mol); p = 0.03
HbA1c at 6 months vs baseline
- Mean HbA1c at 6 months
- 11.1 %±2.1 (98 mmol/mol); p = 0.01
HbA1c at 9 months vs baseline
- Mean HbA1c at 9 months
- 11.4 %±2.3 (101 mmol/mol); p = 0.04
Original publication
Innovations: Using telemedicine to improve care of predominantly non-white youth with suboptimal insulin dependent diabetes control. Diabetes Res Clin Pract. Published 12 March 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →