Increased Technology Use Associated With Lower A1C in a Large Pediatric Clinical Population

被引：10

作者：

Alonso, G. Todd ^{[1
]}

Triolo, Taylor M. ^{[1
]}

Akturk, Halis Kaan ^{[1
]}

Pauley, Meghan E. ^{[1
]}

Sobczak, Marisa ^{[2
]}

Forlenza, Gregory P. ^{[1
]}

Sakamoto, Casey ^{[1
]}

Pyle, Laura ^{[1
,3
]}

Frohnert, Brigitte I. ^{[1
]}

机构：

[1] Univ Colorado, Barbara Davis Ctr, Anschutz Med Campus, Aurora, CO 80045 USA

[2] Univ Colorado, Sch Med, Anschutz Med Campus, Aurora, CO USA

[3] Colorado Sch Publ Hlth, Dept Biostat & Informat, Aurora, CO USA

来源：

DIABETES CARE | 2023年 / 46卷 / 06期

基金：

美国国家卫生研究院;

关键词：

RANDOMIZED-TRIAL; ADOLESCENTS; CHILDREN;

D O I：

10.2337/dc22-2121

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVEWhile continuous glucose monitors (CGMs), insulin pumps, and hybrid closed-loop (HCL) systems each improve glycemic control in type 1 diabetes, it is unclear how the use of these technologies impacts real-world pediatric care. RESEARCH DESIGN AND METHODSWe found 1,455 patients aged <22 years, with type 1 diabetes duration >3 months, and who had data from a single center in between both 2016-2017 (n = 2,827) and 2020-2021 (n = 2,731). Patients were grouped by multiple daily injections or insulin pump, with or without an HCL system, and using a blood glucose monitor or CGM. Glycemic control was compared using linear mixed-effects models adjusting for age, diabetes duration, and race/ethnicity. RESULTSCGM use increased from 32.9 to 75.3%, and HCL use increased from 0.3 to 27.9%. Overall A1C decreased from 8.9 to 8.6% (P < 0.0001). CONCLUSIONSAdoption of CGM and HCL was associated with decreased A1C, suggesting promotion of these technologies may yield glycemic benefits.

引用

页码：1218 / 1222

页数：6

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