Building an Infrastructure to Address Racial Disparities in Treatment and Outcomes in Children with Type 1 Diabetes

Type 1 diabetes (T1D) is one of the most common chronic diseases in childhood and has many process and outcome metrics that reflect health care quality and clinical outcomes. When compared with non-Hispanic White children, non-Hispanic Black children are less likely to use diabetes technology and are more likely to have suboptimal diabetes control. To develop a meaningful and multi-pronged approach to addressing racial disparities in T1D, we need to understand the drivers of disparities from multiple perspectives. In this article, we describe an approach to integrating the perspectives of caregivers, clinical teams, and the clinical data infrastructure to address racial disparities in T1D.