Type 1 diabetes

Observed Characteristics Associated with Diabetes Device Use Among Teens with Type 1 Diabetes

J Diabetes Sci TechnolPublished Cross-sectional study

Authors' conclusion

There were many sociodemographic, diabetes-specific, and psychosocial factors associated with device use. Modifiable factors can serve as the target for clinical interventions; youth with non-modifiable factors can receive extra support to overcome potential barriers to device use.

Study context

Population
Teens aged 13–17 years with T1D in a multicenter clinical trial to optimize self-care and glycemic control; 50% female, mean age 15.0 ± 1.3 years, T1D duration 6.5 ± 3.7 years, HbA1c 8.5 ± 1.1%
Participants
301 participants
Exposure
Pump users vs non-users; CGM users vs non-users
Outcome
Device use
Follow-up
Baseline
Methodological detailsdata from a multicenter clinical trial
  • Data from a multicenter clinical trial

Main finding

As reported in the abstract

Pump users
65%
CGM users
27%
Pump and CGM users (vs non-users) more likely to have household income ≥$150,000, private health insurance and a parent with a college education
all P < .001
Pump and CGM users (vs non-users) performed more frequent daily blood glucose (BG) checks
both P < .001
Pump and CGM users (vs non-users) reported more diabetes self-care behaviors
both P < .05
Pump users less likely to have baseline HbA1c ≥9% (75 mmol/mol) than non-users
P = .005
Pump users reported fewer depressive symptoms than non-users
P = .02
Parents of CGM and pump users reported higher youth quality of life
P < .05

Observational data: associations, not effects.

Original publication

Observed Characteristics Associated with Diabetes Device Use Among Teens with Type 1 Diabetes. J Diabetes Sci Technol. Published 15 October 2021. doi:10.1177/19322968211050069

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