Temporal Trends and Contemporary Use of Insulin Pump Therapy and Glucose Monitoring Among Children, Adolescents, and Adults With Type 1 Diabetes Between 1995 and 2017
Abstract
Objective To investigate temporal trends and contemporary use of insulin pump therapy and glucose monitoring in type 1 diabetes. Research design and methods In a population-based study, we analyzed the use of insulin pump therapy, continuous glucose monitoring (CGM), and self-monitoring of blood glucose (SMBG) from 1995 to 2017 in patients with type 1 diabetes identified from the Diabetes Prospective Follow-up (DPV) database in Germany and Austria. Patients were stratified by age, sex, migration background, and country. Results Among 96,547 patients with type 1 diabetes (median age 17.9 years, 53% males), the percentage using insulin pump therapy increased from 1% in 1995 to 53% in 2017, with the highest rates in the youngest patients (92% in preschoolers, 74% in children, 56% in adolescents aged P P = 1.0) and for CGM use in all age-groups (all P = 1.0). Conclusions Since 1995, insulin pump use has continuously increased, and insulin pump therapy is now standard in patients aged <15 years. CGM use sharply rose in recent years, particularly in young children.
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Restricting identification of type 1 diabetes to ages 18 to 55 may have inflated the proportion of pump users in both provinces with and without insulin pump funding programs, because insulin pump use is more common at younger ages.
“our algorithm restricted identification of type 1 diabetes to individuals between the ages of 18 and 55 and, since insulin pump use is more common in younger ages, this might have also inflated the proportion of pump users in both provinces with and without insulin pump funding programs.”
From Impact of government-funded insulin pump programs on insulin pump use in Canada: a cross-sectional study using the National Diabetes Repository (2021) · cites this paper as [24]
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- Authors
- van den Boom, L., Karges, B., Auzanneau, M., Rami-Merhar, B., Lilienthal, E., von Sengbusch, S., Datz, N., Schröder, C., Kapellen, T., Laimer, M., Schmid, S. M., Müller, H., Wolf, J., & Holl, R. W.
- Affiliations
- Division of Pediatric Diabetes, Clementine Children’s Hospital, Frankfurt, Germany
- RWTH Aachen University (DE)
- Universität Ulm (DE)
- Medical University of Vienna (AT)
- St. Josef-Hospital (DE)
- Department of Pediatrics and Adolescent Medicine, Division of Pediatric Endocrinology and Diabetes, University of Lübeck, Lübeck, Germany
- Kinderkrankenhaus auf der Bult (DE)
- Universitätsmedizin Greifswald (DE)
- University Hospital Leipzig (DE)
- University of Bern (CH)
- German Center for Diabetes Research (DE)
- Deutsche Klinik für Diagnostik (DE)
- Department of Pediatric and Adolescent Medicine, St. Vincenz Hospital, Paderborn, Germany
- ORCID
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2019-09-05
- Volume
- 42
- Issue
- 11
- Pages
- 2050-2056
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2971929662
- Cited by
- 191
- References
- 36
- Citations by year
- 2026: 15 · 2025: 11 · 2024: 16 · 2023: 30 · 2022: 46 · 2021: 39 · 2020: 32 · 2019: 1
- FWCI
- 24.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion)
- RWTH Publications (RWTH Aachen) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- type 1 diabetes, insulin pump therapy, continuous glucose monitoring, self-monitoring of blood glucose, temporal trends, children and adolescents, sex differences, migration background
- MeSH terms
- Adolescent, Adult, Austria, Blood Glucose, Child, Child, Preschool, Diabetes Mellitus, Type 1, Female, Follow-Up Studies, Germany, Humans, Hypoglycemic Agents, Insulin Infusion Systems, Longitudinal Studies, Male, Prospective Studies, Blood Glucose Self-Monitoring, Databases, Factual, Young Adult, Insulins
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