Social Determinants of Health Impact on Pediatric Type 1 Diabetes Outcomes Early after Diagnosis
Authors' conclusion
A1c is lower across all SDI levels with CGM use, but disparities persist. Addressing structural barriers is essential to achieving equity.
Study context
- Population
- Youth aged <19 years newly diagnosed with T1D between 2018 and 2022 at a single tertiary care center
- Participants
- 1,541 participants
- Exposure
- Social Deprivation Index (SDI) quintiles
- Outcome
- Time to CGM and insulin pump initiation, and HbA1c
- Follow-up
- 12 months
Methodological detailssingle tertiary care center
- Single tertiary care center
Main finding
As reported in the abstract
Time to CGM initiation · within 1 year
Each group vs Q1Hazard ratio (95% CI)P value
Q3
0.81(0.66–0.99)
P = 0.036Q4
0.81(0.67–0.98)
P = 0.027Q5
0.69(0.56–0.86)
P = 0.001- Initiated continuous glucose monitor (CGM) within 1 year (overall)
- 84%
- Initiated pump therapy within 1 year (overall)
- 50%
Observational data: associations, not effects.
Further findings
| Outcome | Difference (%) | P value |
|---|---|---|
| HbA1c among CGM usersQ5 vs Q1 | 0.80 | P = 0.001 |
HbA1c among non-pump users
- Q4 and Q5 had higher HbA1c than Q1
HbA1c, AID vs pump-only users
- AID users had lower HbA1c than pump-only users (7.0% vs 7.2%)
- P = 0.003
CGM uptake by ethnicity and insurance
- Hispanic, non-Hispanic black and Medicaid-insured patients had lower CGM uptake
Original publication
Social Determinants of Health Impact on Pediatric Type 1 Diabetes Outcomes Early after Diagnosis. Horm Res Paediatr. Published 24 March 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →