Uninterrupted continuous glucose monitoring access is associated with a decrease in HbA1c in youth with type 1 diabetes and public insurance.

Pediatric Diabetes
Ananta AddalaPriya Prahalad

Abstract

Continuous glucose monitor (CGM) use is associated with improved glucose control. We describe the effect of continued and interrupted CGM use on hemoglobin A1c (HbA1c) in youth with public insurance. We reviewed 956 visits from 264 youth with type 1 diabetes (T1D) and public insurance. Demographic data, HbA1c and two-week CGM data were collected. Youth were classified as never user, consistent user, insurance discontinuer, and self-discontinuer. Visits were categorized as never-user visit, visit before CGM start, visit after CGM start, visit with continued CGM use, visit with initial loss of CGM, visit with continued loss of CGM, and visit where CGM is regained after loss. Multivariate regression adjusting for age, sex, race, diabetes duration, initial HbA1c, and body mass index were used to calculate adjusted mean and delta HbA1c. Adjusted mean HbA1c was lowest for the consistent user group (HbA1c 8.6%;[95%CI 7.9,9.3]). Delta HbA1c (calculated from visit before CGM start) was lower for visit after CGM start (-0.39%;[95%CI -0.78,-0.02]) and visit with continued CGM use (-0.29%;[95%CI -0.61,0.02]), whereas it was higher for visit with initial loss of CGM (0.40%;[95%CI -0.06,0.86]), visit with continued loss of CGM (0.46%;[95%CI ...Continue Reading

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Citations

Dec 11, 2020·Diabetes Care·UNKNOWN American Diabetes Association
Apr 2, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Ananta AddalaDiana Naranjo
Apr 16, 2021·Journal of Diabetes Science and Technology·Rebecca A Harvey TowersStayce E Beck
Mar 28, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Molly L TanenbaumKorey K Hood
Jul 16, 2021·The Journal of Clinical Endocrinology and Metabolism·Ananta AddalaDavid M Maahs
Sep 22, 2021·Diabetes Technology & Therapeutics·Diana IsaacsKelly L Close

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