A randomized trial comparing supplemental video care and asynchronous remote monitoring among young people with type 1 diabetes and elevated glycemic levels
Primary result · Mean HbA1c at study completionResult — go to the resultDifference 1.0% lowerAuthors' conclusion
These findings suggest that among young people with elevated HbA1c despite using diabetes technology, supplemental synchronous, individualized interactions may be more effective at reducing HbA1c than supplemental data review with asynchronous outreach.
Study context
- Population
- Young people aged 5–18 years with established T1D and hemoglobin A1c (HbA1c) > 8%; 57% publicly insured, 54% White, 26% Hispanic/Latino, mean age 13.4 years, T1D duration 5.8 years, baseline HbA1c 9.7%, CGM use 98%, insulin pumps 77%
- Participants
- 65 people
- Comparison
- Supplemental monthly video visits or monthly RPM vs usual care
Methodological detailsthree-arm
- Three-arm
Primary result
Mean HbA1c at study completion · 6 months
Difference
1.0% lower
P = 0.06
As reported in the abstract
Further findings
| Outcome | Video | RPM | P value |
|---|---|---|---|
| Encounter durationVideo vs RPM · mean, min | 29.8 | 17.2 | P < 0.001 |
| Attrition | 45% | 35% |
Encounter duration
- Video visits more likely to cover topics beyond insulin dose adjustments (diabetes behaviors, technology use, emotional support)
Participant feedback
- Feedback about both interventions was highly positive
Original publication
A randomized trial comparing supplemental video care and asynchronous remote monitoring among young people with type 1 diabetes and elevated glycemic levels. Pediatr Diabetes. Published 26 August 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →