Evidence map›Paper›PMID 39826105›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2025

Diabetes visits in paediatric versus adult clinics for young adults (YA) with T1D: Pre-pandemic and pandemic care.

Amit Shapira, Liane J Tinsley, Elena Toschi, Lori M Laffel

Abstract readComparative Study
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Amit ShapiraJoslin Diabetes Center, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-5220-4190
Liane J TinsleyJoslin Diabetes Center, Harvard Medical School, Boston, Massachusetts, USA.
Elena ToschiJoslin Diabetes Center, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-4077-1160
Lori M LaffelJoslin Diabetes Center, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-9675-3001

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
Precision Monitoring: Understanding Momentary Affect, Glucose, and Self-care Behaviors in Adolescents and Young Adults with type 1 diabetesK23DK134877 · NIDDK · JOSLIN DIABETES CENTER · PI Amit Shapira · 2023 to 2026
$763k
K23 DK134877-01A1 K23DK134877Maria Griffin Drury Pediatric FundNIDDK NIH HHS K23 DK134877NIDDK NIH HHS P30 DK036836P30DK036836Steven M. and Joyce E. Tadler Charitable TrustThe Thomas J. Beaston Jr. Foundation
6 · The paper itself

Abstract

backgroundYoung adults (YA) with type 1 diabetes mellitus (T1D) are at high risk of worsening glycated haemoglobin (HbA1c) with fewer follow-up visits. We examined the association of demographic and diabetes characteristics with care utilization, including in-person and telehealth visits, pre- (1 April 2019 to 15 March 2020) and during the COVID-19 pandemic (30 March 2020 to 15 March 2021) for YA (ages: 18-30) with T1D, comparing those seen in paediatric versus adult diabetes clinics at a single diabetes centre.

methodsData were obtained from the electronic health record for YA with a pre-pandemic HbA1c. We performed descriptive statistics to describe the sample and paired t-tests to compare visits before and during the pandemic.

resultsData from 1762 YA (54% male; age 24.0 ± 3.6 (M ± SD) years; HbA1c 66 ± 18 mmol/mol (8.2 ± 1.6%) revealed that in the full sample, mean pre-pandemic visit frequency was 3.5 ± 3.4 and mean pandemic visit frequency was 3.1 ± 4.1 (p < 0.0001). Furthermore, the pandemic visit frequency declined in the adult clinic regardless of sex, pump therapy, CGM use, and pre-pandemic HbA1c, whereas in the paediatric clinic, visit frequency was only reduced for those with HbA1c <53 mmol/mol (<7%) but was otherwise maintained.

conclusionsIn this diabetes centre, the paediatric clinic maintained diabetes care delivery during the pandemic (30 March 2020 to 15 March 2021) to YA with glycaemic control above target, suggesting that preservation of remote care delivery should be considered in this high-risk group.

Indexed as

COVID-19Diabetes Mellitus, Type 1AdolescentAdultAmbulatory Care FacilitiesFemaleGlycated HemoglobinHumansMalePandemicsPatient Acceptance of Health CareSARS-CoV-2TelemedicineYoung AdultGlycated Hemoglobinhemoglobin A1c protein, humanDiabetes Care DeliveryTelehealthType 1 DiabetesYoung Adults

Identifiers

PMID39826105
PMCPMC12005977

What OpenQuestion holds

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LicenceTDM
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Registered trials

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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.