Evidence map›Paper›PMID 40303248›Full record

ArticlePediatric diabetes2023

Disparities in Glycemic Outcomes Persist in Youth with Type 1 Diabetes and High-Technology Use.

Meryl C Nath, Blake Frey, Joycelyn Atchison, Jessica A Schmitt

Abstract read
In one paragraph

Article in Pediatric diabetes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Meryl C NathUAB Heersink School of Medicine, Birmingham, AL 35233, USA.ORCID 0000-0002-4614-4830
Blake FreyUAB Heersink School of Medicine, Birmingham, AL 35233, USA.ORCID 0000-0003-3003-6904
Joycelyn AtchisonDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL 35233, USA.ORCID 0009-0001-2846-593X
Jessica A SchmittDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL 35233, USA.ORCID 0000-0003-0733-2000

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Racial disparities are well described in glycemic outcomes in youth with Type 1 diabetes mellites (T1D). Hemoglobin A1c (HbA1c) has some limitations in comparing glycemia across patient groups as there are individual variations in mean glucose and HbA1c. Objective: This study aimed to compare glycemic metrics obtained from (Dexcom G6) continuous glucose monitor (CGM) device with HbA1c levels controlling for race, age, duration of diabetes, race, insurance status, and insulin pump use with glycemic control. Results: Significant differences were observed between NHW and non-Hispanic Black (NHB) patients in terms of HbA1c, 90-day mean glucose, and 90-day time >250 mg/dL (>13.9 mmol/L) (7.6% vs. 9.2%, 181 mg/dL vs. 220 mg/dL, and 16.3% vs. 34.7%, respectively, Conclusion: Even in a subset of youth with T1D using CGM with high rates of insulin pump use, disparities in glycemic outcomes persist. When evaluating glycemic outcomes, race remained a significant cofactor despite controlling for age, duration of diabetes, sex, insurance status, and insulin administration type. These results add to the existing literature, and demonstrate race remains strong predictor of glycemic outcomes.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 1Healthcare DisparitiesInsulin Infusion SystemsAdolescentBlood Glucose Self-MonitoringChildFemaleGlycated HemoglobinGlycemic ControlHumansHypoglycemic AgentsInsulinMaleWhiteBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulin

Identifiers

PMID40303248
PMCPMC12017191

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.