Evidence map›Paper›PMID 34137288›Full record

ArticleJournal of diabetes science and technology2021

Can Innovative Technologies Overcome HbA1c Disparity for African-American Youth with Type 1 Diabetes?

Stuart Chalew, Alan M Delamater, Sonja Washington, Jayalakshmi Bhat, Diane Franz, Ricardo Gomez, Dania Felipe, Peter Tieh, Laurie Finger

Abstract read
In one paragraph

Article in Journal of diabetes science and technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. The Experience of Discrimination Impacts Technology Readiness and Psychosocial States of Minoritized Families Living With Type 1 Diabetes: Findings From the BEAD-T1D Pilot Study.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Article
  2. Article
  3. Forty Years of Behavioral Diabetes Research: A Personal Journey.Diabetes spectrum : a publication of the American Diabetes Association · 2023
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Stuart ChalewDepartment of Pediatrics, Division of Pediatric Endocrinology and Diabetes, School of Medicine, Louisiana State University Health Sciences Center, Children's Hospital of New Orleans, New Orleans, LA, USA.ORCID 0000-0002-3914-3127
Alan M DelamaterDepartment of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, USA.
Sonja WashingtonEndocrinology and Diabetes, The Children's Hospital of New Orleans, New Orleans, LA, USA.
Jayalakshmi BhatDepartment of Pediatrics, Division of Pediatric Endocrinology and Diabetes, School of Medicine, Louisiana State University Health Sciences Center, Children's Hospital of New Orleans, New Orleans, LA, USA.
Diane FranzDepartment of Psychology, The Children's Hospital of New Orleans, New Orleans, LA, USA.
Ricardo GomezDepartment of Pediatrics, Division of Pediatric Endocrinology and Diabetes, School of Medicine, Louisiana State University Health Sciences Center, Children's Hospital of New Orleans, New Orleans, LA, USA.
Dania FelipeDepartment of Pediatrics, Division of Pediatric Endocrinology and Diabetes, School of Medicine, Louisiana State University Health Sciences Center, Children's Hospital of New Orleans, New Orleans, LA, USA.
Peter TiehDepartment of Pediatrics, Division of Pediatric Endocrinology and Diabetes, School of Medicine, Louisiana State University Health Sciences Center, Children's Hospital of New Orleans, New Orleans, LA, USA.
Laurie FingerEndocrinology and Diabetes, The Children's Hospital of New Orleans, New Orleans, LA, USA.

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JUDD E SHELLITO · 2012 to 2026
$69.1M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Defining the Role of Management Factors in Outcome Disparity in Pediatric T1DR21DK118643 · NIDDK · CHILDREN'S HOSPITAL (NEW ORLEANS) · PI CHALEW, STUART A · 2019 to 2020
$433k
NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R21 DK118643NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

Achieving normal or near-normal glycemic control as reflected by HbA1c levels in patients with type 1 diabetes (T1D) is important for preventing the development and progression of chronic complications. Despite delineation and dissemination of HbA1c management targets and advances in insulin pharmacology, insulin delivery systems, and glucose monitoring, the majority of children with T1D do not achieve HbA1c goals. In particular, African Americans are more likely not to reach HbA1c goals and have persistently higher HbA1c than Non-Hispanic Whites. Availability of pumps and other technology has not eliminated the disparity in HbA1c. Multiple factors play a role in the persisting racial disparity in HbA1c outcome. The carefully designed application and deployment of new technology to help the patient/family and facilitate the supportive role of the diabetes management team may be able to overcome racial disparity in glycemic outcome and improve patient quality of life.

Indexed as

Diabetes Mellitus, Type 1Healthcare DisparitiesAdolescentBlack or African AmericanBlood GlucoseBlood Glucose Self-MonitoringChildGlycated HemoglobinHumansQuality of LifeTechnologyBlood GlucoseGlycated HemoglobinAfrican AmericanHbA1cnon-Hispanic Blackracial disparitytype 1 diabetesyouth

Identifiers

PMID34137288
PMCPMC8442203

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.