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在1型糖尿病的年轻人中使用自动化胰岛素输送系统的种族差异
Emine G Yilmaz1, Ksenia Tonyushkina1,2, Sarah Ronis1,2,3
1Case Western Reserve University/Rainbow Babies and Children's Hospital, Cleveland, OH.
概括
在1型糖尿病的年轻人中,自动化胰岛素输送 (AID) 系统的使用仍然存在种族差异. 使用AID系统的黑人青年实现了更好的A1C控制,突出了技术.
科学领域:
- 内分泌学和新陈代谢学
- 儿科糖尿病 技术 儿童糖尿病
背景情况:
- 建议自动注射胰岛素 (AID) 系统用于年轻人1型糖尿病管理.
- 以前的研究表明,在持续的葡萄糖监测和胰岛素使用方面存在种族差异.
- 了解AID系统的采用和跨种族群体的结果至关重要.
研究的目的:
- 评估在1型糖尿病的青少年中使用AID系统的情况.
- 为了评估与AID系统使用相关的A1C结果,按种族分层分层.
主要方法:
- 一个单一的中心,横截面的研究设计.
- 包括668名年龄在3.1-19.9岁的1型糖尿病患者.
- 通过对人口统计数据,糖尿病设备使用和A1C从2023年诊所访问的图表审查收集的数据.
主要成果:
- 艾滋病系统的总体患病率为65% (435/668).
- 与白人 (70%) 和其他种族群体 (62%) 相比,黑人青年 (47%) 的艾滋病使用率较低 (P <0.001).
- 使用AID的黑人年轻人比非AID使用者 (中位数9.6%) (P <0.001) 实现了明显较低的A1C水平 (中位数8%).
结论:
- 在患有1型糖尿病的年轻人中,在采用AID系统方面存在显著的种族差异.
- 在黑人年轻人中,使用AID系统与改善血糖控制 (A1C) 有关.
- 调查结果强调了解决糖尿病技术获取和利用方面的不平等问题的持续需要.
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