Racial and Ethnic Disparities in Rates of Continuous Glucose Monitor Initiation and Continued Use in Children With Type 1 Diabetes
Abstract
Objective Racial/ethnic disparities in continuous glucose monitor (CGM) use exist among children with type 1 diabetes. It is not known whether differential rates of device initiation or sustained use are the cause of this disparity. Our objective was to compare CGM initiation rates and continued use among non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic children. Research design and methods We conducted a retrospective review including children with type 1 diabetes attending the Children's Hospital of Philadelphia between 1 January 2015 and 31 December 2018. Results Of 1,509 eligible children, 726 (48%) started CGM during the study period. More NHW (54%) than NHB (31%) and Hispanic (33%) children started CGM ( P P Conclusions Lower CGM use in NHB children was due to lower rates of device initiation and higher rates of discontinuation. Interventions to address both of these barriers are needed to reduce disparities in CGM use.
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Insulin pumps and CGM are less commonly used among groups who identify as racial or ethnic minorities, even after adjustment for socioeconomic and clinical factors.
“Insulin pumps and CGM are less commonly used among groups who identify as racial or ethnic minorities, even after adjustment for socioeconomic factors such as income and insurance status, and clinical factors such as healthcare utilization and diabetes self‐management.”
Cites
Racial-ethnic disparities in management and outcomes among children with type 1 diabetes
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- Authors
- Lai, C. W., Lipman, T. H., Willi, S. M., & Hawkes, C. P.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Corresponding author
- Lai, Charlene W.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2020-11-11
- Volume
- 44
- Issue
- 1
- Pages
- 255-257
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W3103231744
- Cited by
- 114
- References
- 3
- Citations by year
- 2026: 8 · 2025: 21 · 2024: 24 · 2023: 18 · 2022: 24 · 2021: 18 · 2020: 1
- FWCI
- 11.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- 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
- racial and ethnic disparities, continuous glucose monitoring, type 1 diabetes, children, non-Hispanic Black children, Hispanic children, non-Hispanic white children, diabetes technology access
- MeSH terms
- Black or African American, Blood Glucose, Child, Diabetes Mellitus, Type 1, Hispanic or Latino, Humans, Retrospective Studies, White People
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