Overcoming Barriers to Diabetes Management in Young Adults with Type 1 Diabetes by Leveraging Telehealth: A Pilot Study
Authors' conclusion
The LIFT-YA pathway was associated with a significant HbA1c reduction and an increase in the adoption of CGM. Policy changes are necessary to expand access to LIFT-YA and other programs for high-risk YA with T1D in underserved communities and across all backgrounds.
Study context
- Population
- Young adults aged 18–30 with T1D and HbA1c >8% (64 mmol/mol) with established adult care in the diabetes clinic24 enrolled
- Participants
- 57 adults
- Comparison
- Completers vs noncompleters vs unable to participate
- Cn = 13
- Noncompleters (NC)n = 11
- Unable to participate (UTP)n = 33reference
- Outcome
- Within-group and between-group changes from baseline in HbA1c at last visit and adoption of CGM
- Follow-up
- Last visit (6-month program)
Methodological detailshybrid telehealth program, case manager-facilitated
- Hybrid telehealth program
- Case manager-facilitated
Main finding
As reported in the abstract
HbA1c change · end of program
C
−1.0
median · IQR −0.6–-2.5
UTP
−0.25
IQR 0.2–-1.0
P < 0.05
Further findings
Barriers
- Limited access to telehealth and high cost of frequent visits were the main hurdles to enrollment or completion
Original publication
Overcoming Barriers to Diabetes Management in Young Adults with Type 1 Diabetes by Leveraging Telehealth: A Pilot Study. Endocr Pract. Published 24 November 2023. doi:10. 1016/ j. eprac. 2023. 11. 005
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