1. Diabetes care practices and outcomes in 40.000 children and adolescents with type 1 diabetes from the SWEET registry during the COVID-19 pandemic.
- Author
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Chobot A, Lanzinger S, Alkandari H, Todd Alonso G, Blauensteiner N, Coles N, De Sanctis L, Mul D, Saboo B, Smart C, Tsai MC, Zabeen B, and Dovc K
- Subjects
- Adolescent, Humans, Child, Pandemics, Glycated Hemoglobin, Registries, COVID-19 epidemiology, Diabetes Mellitus, Type 1 epidemiology, Diabetes Mellitus, Type 1 therapy, Telemedicine
- Abstract
Aims: This study aimed to provide a global insight into initiatives in type 1 diabetes care driven by the COVID-19 pandemic and associations with glycemic outcomes., Methods: An online questionnaire regarding diabetes care before and during the pandemic was sent to all centers (n = 97, 66,985 youth with type 1 diabetes) active in the SWEET registry. Eighty-two responded, and 70 (42,798 youth with type 1 diabetes) had available data (from individuals with type 1 diabetes duration >3 months, aged ≤21 years) for all 4 years from 2018 to 2021. Statistical models were adjusted, among others, for technology use., Results: Sixty-five centers provided telemedicine during COVID-19. Among those centers naive to telemedicine before the pandemic (n = 22), four continued only face-to-face visits. Centers that transitioned partially to telemedicine (n = 32) showed a steady increase in HbA1c between 2018 and 2021 (p < 0.001). Those that transitioned mainly to telemedicine (n = 33 %) improved HbA1c in 2021 compared to 2018 (p < 0.001)., Conclusions: Changes to models of care delivery driven by the pandemic showed significant associations with HbA1c shortly after the pandemic outbreak and 2 years of follow-up. The association appeared independent of the concomitant increase in technology use among youth with type 1 diabetes., Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: none reported. SWEET is a registered non-profit charity research collaboration in Hannover, Germany (NCT04427189). Declaration of Generative AI and AI-assisted technologies in the writing process: During the preparation of this work, the authors did not use Generative AI and AI-assisted technologies in the writing process., (Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.)
- Published
- 2023
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