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Increasing Continuous Glucose Monitoring Use for Non-Hispanic Black and Hispanic People With Type 1 Diabetes: Results From the T1D Exchange Quality Improvement Collaborative Equity Study.
- Source :
-
Clinical diabetes : a publication of the American Diabetes Association [Clin Diabetes] 2024 Winter; Vol. 42 (1), pp. 40-48. Date of Electronic Publication: 2023 Oct 13. - Publication Year :
- 2024
-
Abstract
- Despite the benefits of continuous glucose monitoring (CGM), there is lower use of this technology among non-Hispanic Black and Hispanic people with type 1 diabetes compared with their non-Hispanic White counterparts. The T1D Exchange Quality Improvement Collaborative recruited five endocrinology centers to pilot an equity-focused quality improvement (QI) study to reduce racial inequities in CGM use. The centers used rapid QI cycles to test and expand interventions such as provider bias training, translation of CGM materials, provision of CGM education in multiple languages, screening for social determinants of health, and shared decision-making. After implementation of these interventions, median CGM use increased by 7% in non-Hispanic White, 12% in non-Hispanic Black, and 15% in Hispanic people with type 1 diabetes. The gap between non-Hispanic White and non-Hispanic Black patients decreased by 5%, and the gap between non-Hispanic White and Hispanic patients decreased by 8%.<br />Competing Interests: O.E. is a compensated Health Equity Advisory Board member for Medtronic Diabetes and serves as principal investigator for investigator-led projects sponsored by Abbott, Eli Lilly, Insulet, and Medtronic. He is compensated through his organization, the T1D Exchange. No other potential conflicts of interest relevant to this article were reported.<br /> (© 2024 by the American Diabetes Association.)
Details
- Language :
- English
- ISSN :
- 0891-8929
- Volume :
- 42
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Clinical diabetes : a publication of the American Diabetes Association
- Publication Type :
- Academic Journal
- Accession number :
- 38230339
- Full Text :
- https://doi.org/10.2337/cd23-0050