Diabetes technology

Mealtime Insulin Bolus Score (BOLUS) Score More Strongly Predicts HbA1c Than the Self-Care Inventory in Youth With Type 1 Diabetes

J Diabetes Sci TechnolPublished Cross-sectional study

Authors' conclusion

Youths' BOLUS score has better concurrent validity with HbA1c than the SCI. We should consider reporting the BOLUS score as an outcome metric in insulin pump data reports.

Study context

Population
Youth with T1D using insulin pumps; mean age 15.03 ± 1.97 years, mean time since diagnosis 8.11 ± 3.26 years, 55% boys, 91% families white
Participants
105 participants
Exposure
Mealtime insulin BOLUS score vs Self-Care Inventory (SCI) as predictors of HbA1c
Outcome
Strength of association of HbA1c with mean insulin BOLUS score vs SCI total score
Methodological details2 weeks of insulin pump data and a concurrent HbA1c collected; SCI self-reported
  • 2 weeks of insulin pump data and a concurrent HbA1c collected; SCI self-reported

Main finding

As reported in the abstract

Association with HbA1c

Mean HbA1c

8.78 ± 1.49%

Observational data: associations, not effects.

Original publication

Mealtime Insulin BOLUS Score More Strongly Predicts HbA1c Than the Self-Care Inventory in Youth With Type 1 Diabetes. J Diabetes Sci Technol. Published 11 August 2023. doi:10.1177/19322968231192979

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