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. 2024 Apr 1;47(4):707-711.
doi: 10.2337/dc23-2033.

Improved Glycemic Outcomes With Diabetes Technology Use Independent of Socioeconomic Status in Youth With Type 1 Diabetes

Kate E Lomax  1   2 , Craig E Taplin  1   2   3 , Mary B Abraham  1   2   4 , Grant J Smith  2 , Aveni Haynes  2 , Ella Zomer  5 , Katrina L Ellis  1 , Helen Clapin  2 , Sophia Zoungas  5 , Alicia J Jenkins  6   7 , Jennifer Harrington  8   9 , Martin I de Bock  10 , Timothy W Jones  1   2   4 , Elizabeth A Davis  1   2   4 ; Australasian Diabetes Data Network (ADDN) Study Group
Collaborators, Affiliations

Improved Glycemic Outcomes With Diabetes Technology Use Independent of Socioeconomic Status in Youth With Type 1 Diabetes

Kate E Lomax et al. Diabetes Care. .

Abstract

Objective: Technology use in type 1 diabetes (T1D) is impacted by socioeconomic status (SES). This analysis explored relationships between SES, glycemic outcomes, and technology use.

Research design and methods: A cross-sectional analysis of HbA1c data from 2,822 Australian youth with T1D was undertaken. Residential postcodes were used to assign SES based on the Index of Relative Socio-Economic Disadvantage (IRSD). Linear regression models were used to evaluate associations among IRSD quintile, HbA1c, and management regimen.

Results: Insulin pump therapy, continuous glucose monitoring, and their concurrent use were associated with lower mean HbA1c across all IRSD quintiles (P < 0.001). There was no interaction between technology use and IRSD quintile on HbA1c (P = 0.624), reflecting a similar association of lower HbA1c with technology use across all IRSD quintiles.

Conclusions: Technology use was associated with lower HbA1c across all socioeconomic backgrounds. Socioeconomic disadvantage does not preclude glycemic benefits of diabetes technologies, highlighting the need to remove barriers to technology access.

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