Article
Endocrinology & Metabolism
Shivani Agarwal, Clyde Schechter, Jeffrey Gonzalez, Judith A. Long
Summary: Recent studies have found significant racial-ethnic disparities in insulin pump and continuous glucose monitor use among people with type 1 diabetes, with socioeconomic status not being the sole driver of these disparities. Future research should focus on minority young adults' preferences and issues within the medical system to explain these differences.
DIABETES TECHNOLOGY & THERAPEUTICS
(2021)
Article
Endocrinology & Metabolism
Alexis M. McKee, Noor Al-Hammadi, Leslie J. Hinyard
Summary: A study on young adults with type 1 diabetes found lower utilization of CSII in Black, Hispanic, male, and government-insured individuals, who also had higher HbA1c levels. Black, Hispanic, and government-insured subjects had higher odds of DKA.
ENDOCRINE PRACTICE
(2021)
Article
Endocrinology & Metabolism
Cari Berget, Halis Kaan Akturk, Laurel H. Messer, Timothy Vigers, Laura Pyle, Janet Snell-Bergeon, Kimberly A. Driscoll, Gregory P. Forlenza
Summary: The study describes the real-world use of hybrid closed loop (HCL) in diabetes patients across different age groups and its impact on glycemic outcomes, as well as identifies a clinical threshold associated with achieving the target of 70% time in range for sensor glucose levels. Results suggest that setting HCL use at 70% or higher may be beneficial for patients in reaching glycemic goals, with potential challenges for youth requiring additional clinical interventions to sustain HCL use.
DIABETES OBESITY & METABOLISM
(2021)
Review
Endocrinology & Metabolism
Karishma A. Datye, Daniel R. Tilden, Angelee M. Parmar, Eveline R. Goethals, Sarah S. Jaser
Summary: Although continuous glucose monitors (CGM) play an important role in diabetes management for young adults, there are challenges such as cost, racial and ethnic disparities. Further research is needed to understand and address these differences in order to increase accessibility of CGM therapy and maximize its potential benefits for this high-risk group.
CURRENT DIABETES REPORTS
(2021)
Article
Endocrinology & Metabolism
Charlene W. Lai, Terri H. Lipman, Steven M. Willi, Colin P. Hawkes
Summary: Racial/ethnic disparities exist in continuous glucose monitor (CGM) use among children with type 1 diabetes. The study found that lower CGM use in non-Hispanic Black children was due to lower rates of device initiation and higher rates of discontinuation. Interventions are needed to address both of these barriers in order to reduce disparities in CGM use.
Review
Endocrinology & Metabolism
Shivani Agarwal, Iman Simmonds, Alyson K. Myers
Summary: The introduction of novel technological treatments and modalities of care in diabetes management has improved health outcomes for many people, but there are still disparities in the use of these technologies, which may perpetuate or widen existing inequities. Factors contributing to these disparities include inequitable prescribing practices, lack of support for social determinants of health, mismatch between patient preferences and care models, and high cost.
CURRENT DIABETES REPORTS
(2022)
Article
Endocrinology & Metabolism
Kagan E. Karakus, Viral N. Shah, David Klonoff, Halis K. Akturk
Summary: This study aimed to evaluate the glycaemia risk index (GRI) and its association with other continuous glucose monitoring (CGM) metrics after initiation of an automated insulin delivery (AID) system. The study found that GRI was highly correlated with various CGM metrics above target range, but not below.
DIABETES OBESITY & METABOLISM
(2023)
Article
Endocrinology & Metabolism
Charlene W. Lai, Terri H. Lipman, Steven M. Willi, Colin P. Hawkes
Summary: Racial-ethnic disparities in technology use, particularly in the initiation and sustained use of continuous glucose monitors (CGM), exist among children with type 1 diabetes (T1D), with non-Hispanic black (NHB) children having significantly lower rates of usage. Strategies to address these disparities should begin early in T1D management.
DIABETES TECHNOLOGY & THERAPEUTICS
(2021)
Article
Endocrinology & Metabolism
Faisal S. Malik, Katherine A. Sauder, Scott Isom, Beth A. Reboussin, Dana Dabelea, Jean M. Lawrence, Alissa Roberts, Elizabeth J. Mayer-Davis, Santica Marcovina, Lawrence Dolan, Daria Igudesman, Catherine Pihoker
Summary: This study examines the temporal trends and correlates of glycemic control in youth and young adults with youth-onset diabetes. The results show that despite advancements in diabetes technologies and medications, many current youth and young adults are less likely to achieve desired glycemic control compared to earlier cohorts.
Article
Medicine, General & Internal
Grazia Aleppo, Robin L. Gal, Dan Raghinaru, Davida Kruger, Roy W. Beck, Richard M. Bergenstal, Terra Cushman, Korey K. Hood, Mary L. Johnson, Teresa Mcarthur, Amy Bradshaw, Beth A. Olson, Sean M. Oser, Tamara K. Oser, Craig Kollman, Ruth S. Weinstock
Summary: This study evaluated the effectiveness of a virtual clinic in providing comprehensive diabetes care and supporting the integration of continuous glucose monitoring technology. Results showed improved glucose control and decreased hemoglobin A1c levels in participants with both type 1 and type 2 diabetes.
Article
Endocrinology & Metabolism
Anthony Pease, Naomi Szwarcbard, Arul Earnest, Sofianos Andrikopoulos, Natalie Wischer, Sophia Zoungas
Summary: This study evaluated the utilization of technologies and associated glycaemia among adults with type 1 diabetes, finding that the use of CGM, insulin pumps, or their combination was associated with lower HbA1c levels compared to standard care. While CGM was associated with more hypoglycemia, technology use was beneficial in controlling blood glucose levels.
DIABETES RESEARCH AND CLINICAL PRACTICE
(2021)
Article
Public, Environmental & Occupational Health
Marta Bassi, Marina Francesca Strati, Stefano Parodi, Simone Lightwood, Clara Rebora, Francesca Rizza, Giuseppe d'Annunzio, Nicola Minuto, Mohamad Maghnie
Summary: The aim of this study was to evaluate the satisfaction of the use of telemedicine and telenursing in children and young adults with Type 1 Diabetes and their families. The data collected showed that 92.4% of the population was overall very satisfied with the quality of the service provided. Telemedicine and telenursing have an essential role in diabetology and are highly appreciated in the center.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Medicine, General & Internal
Mark A. Sperling, Lori M. Laffel
Summary: A 12.5-year-old pubertal girl is referred to a tertiary medical center for management of new-onset diabetes mellitus. The initial evaluation reveals glucosuria but no ketonuria. She has no family history of type 1 diabetes mellitus and her physical examination is normal except for Tanner stage 3 breast and pubic hair development.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Endocrinology & Metabolism
Michael A. Rotondi, Octavia Wong, Michael Riddell, Bruce Perkins
Summary: Universal use of CGM or isCGM in the Canadian T1D population is expected to reduce diabetes-related complications and mortality at an acceptable cost-effectiveness threshold.
Article
Endocrinology & Metabolism
Huiying Wang, Yunting Zhou, Xiaofang Zhai, Bo Ding, Ting Jing, Xiaofei Su, Huiqin Li, Jianhua Ma
Summary: The study aimed to evaluate glycemic control in adults with controlled type 2 diabetes mellitus using continuous glucose monitoring system during Basalin or Lantus administration. Lantus-treated patients showed lower 24-hour MBG, MAGE, and SDBG compared to the Basalin group. Insulin glargine Lantus may be a better choice for T2DM patients with HbA1c <= 7%.
FRONTIERS IN ENDOCRINOLOGY
(2021)
Article
Health Care Sciences & Services
Shimrit Keddem, Aneeza Z. Agha, Judith A. Long, Rachel M. Werner, Judy A. Shea
Article
Endocrinology & Metabolism
Shivani Agarwal, Clyde Schechter, Jeffrey Gonzalez, Judith A. Long
Summary: Recent studies have found significant racial-ethnic disparities in insulin pump and continuous glucose monitor use among people with type 1 diabetes, with socioeconomic status not being the sole driver of these disparities. Future research should focus on minority young adults' preferences and issues within the medical system to explain these differences.
DIABETES TECHNOLOGY & THERAPEUTICS
(2021)
Article
Health Care Sciences & Services
Shimrit Keddem, Aneeza Z. Agha, Judith A. Long, Becky Shasha, Leslie R. M. Hausmann, Judy A. Shea
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Article
Public, Environmental & Occupational Health
JA Long, D Polsky, JP Metlay
AMERICAN JOURNAL OF PUBLIC HEALTH
(2005)
Review
Medicine, General & Internal
JA Long, VW Chang, SA Ibrahim, DA Asch
ANNALS OF INTERNAL MEDICINE
(2004)
Article
Health Care Sciences & Services
M Weiner, J Long