Young Adult Diabetes Technology Use in Pediatric as Compared to Adult Practices
Main finding · Poor control (HbA1C >9%)Result — go to the resultOdds ratio 1.23Authors' 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
| Outcome | OR | P value |
|---|---|---|
| CGM useAdjusted for covariates | 0.64 | P < 0.001 |
| Insulin pump useAdjusted for covariates | 0.62 | P < 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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