Type 1 diabetes

Overcoming Barriers to Diabetes Management in Young Adults with Type 1 Diabetes by Leveraging Telehealth: A Pilot Study

Endocr PractPublished Pilot quality improvement 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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