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