- Title
- Diabetes care practices and outcomes in 40.000 children and adolescents with type 1 diabetes from the SWEET registry during the COVID-19 pandemic
- Creator
- Chobot, Agata; Lanzinger, Stefanie; Tsai, Meng-Che; Zabeen, Bedowra; Dovc, Klemen; Alkandari, Hessa; Todd Alonso, G.; Blauensteiner, Nicole; Coles, Nicole; De Sanctis, Luisa; Mul, Dick; Saboo, Banshi; Smart, Carmel
- Relation
- Diabetes Research and Clinical Practice Vol. 202, no. 110809
- Publisher Link
- http://dx.doi.org/10.1016/j.diabres.2023.110809
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2023
- Description
- 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.
- Subject
- type 1 diabetes; children; HbA1c; diabetes ketoacidosis; diabetes care; COVID-19; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1488027
- Identifier
- uon:52328
- Identifier
- ISSN:0168-8227
- Rights
- © 2023 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
- Language
- eng
- Full Text
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Goal 3: Good Health and Well-Being
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