Insulin Pump Utilization in 2017–2021 for More Than 22,000 Children and Adults With Type 1 Diabetes: A Multicenter Observational Study-Reference-Cited by-同舟云学术

Insulin Pump Utilization in 2017–2021 for More Than 22,000 Children and Adults With Type 1 Diabetes: A Multicenter Observational Study

Published:2023-10-12 Issue:1 Volume:42 Page:56-64
ISSN:0891-8929
Container-title:Clinical Diabetes
language:en
Short-container-title:

Author:

Gandhi Kajal¹^ORCID,Ebekozien Osagie²³,Noor Nudrat²,McDonough Ryan J.⁴,Hsieh Susan⁵,Miyazaki Brian⁶,Dei-Tutu Selorm⁷,Golden Lauren⁸,Desimone Marisa⁹,Hardison Holly²,Rompicherla Saketh²,Akturk Halis K.¹⁰,Kamboj Manmohan K.¹,

Affiliation:

1. 1Nationwide Children’s Hospital, Columbus, OH

2. 2T1D Exchange, Boston, MA

3. 3University of Mississippi School of Population Health, Jackson, MS

4. 4Childrens Mercy – Kansas City, Kansas City, MO

5. 5Cook Children’s Hospital, Fort Worth, TX

6. 6Children’s Hospital of Los Angeles, Los Angeles, CA

7. 7Texas Children’s Hospital, Houston, TX

8. 8NYU Langone, New York

9. 9SUNY Upstate Medical University, Syracuse, NY

10. 10Barbara Davis Center, Denver, CO

Abstract

This large type 1 diabetes cohort study showed that insulin pump utilization has increased over time and that use differs by sex, insurance type, and race/ethnicity. Insulin pump use was associated with more optimal A1C, increased use of continuous glucose monitoring (CGM), and lower rates of diabetic ketoacidosis and severe hypoglycemia. People who used an insulin pump with CGM had lower rates of acute events than their counterparts who used an insulin pump without CGM. These findings highlight the need to improve access of diabetes technology through provider engagement, multidisciplinary approaches, and efforts to address health inequities.

Funder

Leona M. and Harry B. Helmsley Charitable Trust

Publisher

American Diabetes Association

Subject

Endocrinology, Diabetes and Metabolism,Internal Medicine

Link

https://diabetesjournals.org/clinical/article-pdf/42/1/56/744322/diaclincd230055.pdf

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