Socioeconomic and Linguistic Factors in Paediatric Type 1 Diabetes: Exploring Glycemic Outcomes, Technology Use, and Residual Beta‐Cell Function in Migrant‐Background Populations
Authors' conclusion
In this retrospective cohort, children and adolescents from migrant-background families had poorer glycemic outcomes despite high AID uptake and comparable C-peptide levels at follow-up.
Study context
- Population
- Children with paediatric T1D; median (IQR) age 11 (8–14) years
- Participants
- 208 children
- Exposure
- Migrant-background vs Italian children with T1D
- Migrant-backgroundn = 89
- Italiann = 119reference
- Outcome
- Glycemic control (HbA1c, TIR, TITR, TAR, CV) and residual beta-cell function
Methodological detailsunivariable and exploratory multivariable regression
- Univariable and exploratory multivariable regression
Main finding
As reported in the abstract
Glycemic control
Glycemic control
TIR
CV
- Migrant-background vs Italian: P < 0.001 — value = HbA1c
- Migrant-background vs Italian: P = 0.004
- Migrant-background vs Italian: P < 0.001
Observational data: associations, not effects.
Further findings
C-peptide at onset
P = 0.010
AID usage
| Outcome | Migrant-background | Italian | P value |
|---|---|---|---|
| pH at onset | 7.28 | 7.35 | P = 0.047 |
Maternal unemployment
- Migrant mothers unemployed vs comparison mothers
- 63.4% vs 16.6%, p < 0.001
Multivariable analysis
- Migrant status associated with higher HbA1c
- β +0.70, p < 0.001
- AID use associated with higher TIR
- β +10, p < 0.001
- High maternal education associated with higher TIR
- β +7.86, p = 0.004
- Exploratory
Original publication
Socioeconomic and Linguistic Factors in Paediatric Type 1 Diabetes: Exploring Glycemic Outcomes, Technology Use, and Residual Beta‐Cell Function in Migrant‐Background Populations. Diabetes Obes Metab. Published 2 August 2026. doi:10. 1111/ dom. 71167
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