Type 1 diabetes

Young Adult Diabetes Technology Use in Pediatric as Compared to Adult Practices

Endocr PractPublished Retrospective cohort study

Main finding · Poor control (HbA1C >9%)Result — go to the resultOdds ratio 1.23

Authors' conclusion

YAs receiving care in adult versus pediatric centers appear more likely to have poor diabetes control and less likely to use diabetes technology. The findings are limited by unequal regional representation and smaller adult center population. Research is needed to identify barriers to technology use for YAs particularly in adult practices.

Study context

Population
Young adults (YAs) aged 18 to 23 years with T1D, T1D Exchange, January 1, 2022 to December 31, 2023
Participants
839 vs 8,538
Exposure
Adult vs pediatric institutions
  • Adult institutionsn = 839
  • Pediatric institutionsn = 8,538reference
Outcome
Poor control (hemoglobin A1C (HbA1C) >9%)
Methodological detailsT1D Exchange registry data, logistic regression adjusted for covariates
  • T1D Exchange registry data
  • Logistic regression adjusted for covariates

Main finding

As reported in the abstract

Odds ratio

1.23

P = 0.03

Observational data: associations, not effects.

Further findings

Age at analysis · unadjusted

Undocumented insurance · unadjusted

OutcomeORP value
CGM useAdjusted for covariates0.64P < 0.001
Insulin pump useAdjusted for covariates0.62P < 0.001

CGM use

Technology use was high in both populations

Original publication

Young Adult Diabetes Technology Use in Pediatric as Compared to Adult Practices. Endocr Pract. Published 11 September 2025. doi:10.1016/j.eprac.2025.09.001

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