Improved Glycemic Outcomes With Diabetes Technology Use Independent of Socioeconomic Status in Youth With Type 1 Diabetes
Author:
Lomax Kate E.12ORCID, Taplin Craig E.123, Abraham Mary B.124, Smith Grant J.2ORCID, Haynes Aveni2ORCID, Zomer Ella5ORCID, Ellis Katrina L.1, Clapin Helen2ORCID, Zoungas Sophia5ORCID, Jenkins Alicia J.67ORCID, Harrington Jennifer89, de Bock Martin I.10ORCID, Jones Timothy W.124ORCID, Davis Elizabeth A.124ORCID, , Anderson Kym, Andrikopoulos Sof, Ambler Geoff, Barrett Helen, Batch Jenny, Bergman Philip, Cameron Fergus, Conwell Louise, Cotterill Andrew, Cooper Chris, Couper Jennifer, Craig Maria, Davis Elizabeth, de Bock Martin, Fairchild Jan, Fegan Gerry, Fourlanos Spiros, Glastras Sarah, Goss Peter, Gray Leonie, Hamblin Peter Shane, Hofman Paul, Holmes-Walker Dianne Jane, Huynh Tony, Isaacs Sonia, Jefferies Craig, Johnson Stephanie, Jones Tim, Kao Jeff, King Bruce R., Lafferty Antony, Makin Jane, Martin Michelle, McCrossin Robert, Neville Kris, Pascoe Mark, Paul Ryan, Pawlak Dorota, Peña Alexia, Phillips Liza, Price Darrell, Rodda Christine, Simmons David, Sinnott Richard, Smart Carmel, Stell Anthony, Stone Monique, Stranks Steve, Tham Elaine, Waddell Barbara, Ward Glenn, Wheeler Ben, Woodhead Helen, Zimmermann Anthony
Affiliation:
1. 1Department of Endocrinology and Diabetes, Perth Children’s Hospital, Nedlands, Western Australia, Australia 2. 2Children’s Diabetes Centre, Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia 3. 3Centre for Child Health Research, The University of Western Australia, Perth, Western Australia, Australia 4. 4Division of Paediatrics Within the Medical School, The University of Western Australia, Perth, Western Australia, Australia 5. 5School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia 6. 6Diabetes and Vascular Medicine, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia 7. 7NHMRC Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia 8. 8Division of Endocrinology, Women’s and Children’s Health Network, North Adelaide, South Australia, Australia 9. 9Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia 10. 10Department of Paediatrics, University of Otago, Christchurch, New Zealand
Abstract
OBJECTIVE
Technology use in type 1 diabetes (T1D) is impacted by socioeconomic status (SES). This analysis explored relationships between SES, glycemic outcomes, and technology use.
RESEARCH DESIGN AND METHODS
A cross-sectional analysis of HbA1c data from 2,822 Australian youth with T1D was undertaken. Residential postcodes were used to assign SES based on the Index of Relative Socio-Economic Disadvantage (IRSD). Linear regression models were used to evaluate associations among IRSD quintile, HbA1c, and management regimen.
RESULTS
Insulin pump therapy, continuous glucose monitoring, and their concurrent use were associated with lower mean HbA1c across all IRSD quintiles (P < 0.001). There was no interaction between technology use and IRSD quintile on HbA1c (P = 0.624), reflecting a similar association of lower HbA1c with technology use across all IRSD quintiles.
CONCLUSIONS
Technology use was associated with lower HbA1c across all socioeconomic backgrounds. Socioeconomic disadvantage does not preclude glycemic benefits of diabetes technologies, highlighting the need to remove barriers to technology access.
Publisher
American Diabetes Association
Cited by
1 articles.
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