Racial Disparities in Access and Use of Diabetes Technology Among Adult Patients With Type 1 Diabetes in a U.S. Academic Medical Center
Authors' conclusion
Significant racial disparities were observed in discussions, prescribing, and use of diabetes technology. Further research is needed to identify the causes behind these disparities and develop and evaluate strategies to reduce them.
Study context
- Population
- Adults with T1D seen consecutively at a U.S. academic medical center clinic, April 2013 to January 2020
- Participants
- 1,258 adults
- Exposure
- Black vs non-Black adults with T1D
- Outcome
- Baseline and prevalent technology use (CGM, PUMP), rates of diabetes technology discussions (CGMdiscn, PUMPdiscn) and prescribing (CGMrx, PUMPrx)
Methodological detailsclinic-based, consecutive patients, multivariable logistic regression
- Clinic-based
- Consecutive patients
- Multivariable logistic regression
Main finding
As reported in the abstract
Diabetes technology use, discussions and prescribing
Black vs Non-BlackAdjusted odds ratio (95% CI)
CGMdiscn
0.51(0.29–0.90)
CGMrx
0.61(0.41–0.93)
PUMPdiscn
0.74(0.44–1.25)
PUMPrx
0.40(0.22–0.70)
Observational data: associations, not effects.
Further findings
Other factors associated with outcomes
- Neighborhood context, insurance, marital and employment status, and number of clinic visits also associated with the outcomes
Original publication
Racial Disparities in Access and Use of Diabetes Technology Among Adult Patients With Type 1 Diabetes in a U.S. Academic Medical Center. Diabetes Care. Published 15 November 2022. doi:10.
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