The Use of Diabetes Technology to Address Inequity in Health Outcomes: Limitations and Opportunities

National Diabetes Statistics Report 2020. Estimates of diabetes and its burden in the United States. Published online 2020:32

Only 1 in 4 Adults with diagnosed diabetes achieve combined diabetes care goals | Diabetes | CDC. Published November 13, 2020. Accessed September 28, 2021. https://www.cdc.gov/diabetes/research/reports/diabetes-abcs.html

Foster NC, Beck RW, Miller KM, et al. State of type 1 diabetes management and outcomes from the T1D exchange in 2016–2018. Diabetes Technol Ther. 2019;21(2):66–72. https://doi.org/10.1089/dia.2018.0384.

CAS  Article  PubMed  PubMed Central  Google Scholar 

Addressing health disparities in diabetes | Diabetes | CDC. Published August 11, 2021. Accessed November 15, 2021. https://www.cdc.gov/diabetes/disparities.html

Association AD. Economic costs of diabetes in the U.S. In 2017. Diabetes Care. 2018;41(5):917–28. https://doi.org/10.2337/dci18-0007.

Article  Google Scholar 

Nathan DM, Group for the DR. The diabetes control and complications trial/epidemiology of diabetes interventions and complications study at 30 years: overview. Diabetes Care. 2014;37(1):9–16. https://doi.org/10.2337/dc13-2112

Chamberlain JJ, Rhinehart AS, Shaefer CF, Neuman A. Diagnosis and management of diabetes: synopsis of the 2016 American diabetes association standards of medical care in diabetes. Ann Intern Med. 2016;164(8):542–52. https://doi.org/10.7326/M15-3016.

Article  PubMed  Google Scholar 

Lai CW, Lipman TH, Willi SM, Hawkes CP. Racial and ethnic disparities in rates of continuous glucose monitor initiation and continued use in children with type 1 diabetes. Diabetes Care. 2021;44(1):255–7. https://doi.org/10.2337/dc20-1663.

Article  PubMed  Google Scholar 

Agarwal S, Schechter C, Gonzalez J, Long JA. Racial-ethnic disparities in diabetes technology use among young adults with type 1 diabetes. Diabetes Technol Ther. 2021;23(4):306–13. https://doi.org/10.1089/dia.2020.0338.

CAS  Article  PubMed  PubMed Central  Google Scholar 

Addala A, Auzanneau M, Miller K, et al. A decade of disparities in diabetes technology use and HbA1c in pediatric type 1 diabetes: a transatlantic comparison. Diabetes Care. 2021;44(1):133–40. https://doi.org/10.2337/dc20-0257.

Article  PubMed  Google Scholar 

Addala A, Hanes S, Naranjo D, Maahs DM, Hood KK. Provider implicit bias impacts pediatric type 1 diabetes technology recommendations in the united states: findings from the gatekeeper study. J Diabetes Sci Technol. 2021;15(5):1027–33. https://doi.org/10.1177/19322968211006476.

Article  PubMed  PubMed Central  Google Scholar 

Golden SH, Joseph JJ, Hill-Briggs F. Casting a health equity lens on endocrinology and diabetes. J Clin Endocrinol Metab. 2021;106(4):e1909–16. https://doi.org/10.1210/clinem/dgaa938.

Article  PubMed  Google Scholar 

Dang YH, Patel-Shori NM, Barros M, Yu D. Good literacy to enhance response in diabetes mellitus (GLITTER-DM). Innov Pharm. 2020;11(3):https://doi.org/10.24926/iip.v11i3.2406

Schillinger D, Grumbach K, Piette J, et al. Association of health literacy with diabetes outcomes. JAMA. 2002;288(4):475–82. https://doi.org/10.1001/jama.288.4.475.

Article  PubMed  Google Scholar 

Agarwal S, Crespo-Ramos G, Long JA, Miller VA. “I didn’t really have a choice”: qualitative analysis of racial-ethnic disparities in diabetes technology use among young adults with type 1 diabetes. Diabetes Technol Ther. 2021;23(9):616–22. https://doi.org/10.1089/dia.2021.0075.

CAS  Article  PubMed  Google Scholar 

Wong JC, Foster NC, Maahs DM, et al. Real-time continuous glucose monitoring among participants in the T1D Exchange clinic registry. Diabetes Care. 2014;37(10):2702–9. https://doi.org/10.2337/dc14-0303.

Article  PubMed  PubMed Central  Google Scholar 

Tong T, Myers AK, Bissoonauth AA, Pekmezaris R, Kozikowski A. Identifying the barriers and perceptions of non-Hispanic black and Hispanic/Latino persons with uncontrolled type 2 diabetes for participation in a home Telemonitoring feasibility study: a quantitative analysis of those who declined participation, withdrew or were non-adherent. Ethn Health. 2020;25(4):485–94. https://doi.org/10.1080/13557858.2019.1566520.

Article  PubMed  Google Scholar 

Isaacs D, Bellini NJ, Biba U, Cai A, Close KL. Health care disparities in use of continuous glucose monitoring. Diabetes Technol Ther. 2021;23(S3):S81–7. https://doi.org/10.1089/dia.2021.0268.

Article  PubMed  Google Scholar 

Association AD. 7. Diabetes technology: standards of medical care in diabetes—2021. Diabetes Care. 2021;44(Supplement 1):S85-S99. https://doi.org/10.2337/dc21-S007

Grunberger G, Handelsman Y, Bloomgarden ZT, et al. American Association of Clinical Endocrinologists and American College Of Endocrinology 2018 position statement on integration of insulin pumps and continuous glucose monitoring in patients with diabetes mellitus. Endocr Pract Off J Am Coll Endocrinol Am Assoc Clin Endocrinol. 2018;24(3):302–8. https://doi.org/10.4158/PS-2017-0155.

Article  Google Scholar 

Maiorino MI, Signoriello S, Maio A, et al. Effects of continuous glucose monitoring on metrics of glycemic control in diabetes: a systematic review with meta-analysis of randomized controlled trials. Diabetes Care. 2020;43(5):1146–56. https://doi.org/10.2337/dc19-1459.

CAS  Article  PubMed  Google Scholar 

Miller KM, Beck RW, Foster NC, Maahs DM. HbA1c levels in type 1 diabetes from early childhood to older adults: a deeper dive into the influence of technology and socioeconomic status on HbA1c in the T1D exchange clinic registry findings. Diabetes Technol Ther. 2020;22(9):645–50. https://doi.org/10.1089/dia.2019.0393.

Article  PubMed  PubMed Central  Google Scholar 

Walker AF, Hood KK, Gurka MJ, et al. Barriers to technology use and endocrinology care for underserved communities with type 1 diabetes. Diabetes Care. Published online May 17, 2021:dc202753. https://doi.org/10.2337/dc20-2753

Anderson JE, Gavin JR, Kruger DF. Current eligibility requirements for CGM coverage Are harmful, costly, and unjustified. Diabetes Technol Ther. 2020;22(3):169–73. https://doi.org/10.1089/dia.2019.0303.

Article  PubMed  PubMed Central  Google Scholar 

Wan W, Skandari MR, Minc A, et al. Cost-effectiveness of continuous glucose monitoring for adults with type 1 diabetes compared with self-monitoring of blood glucose: the DIAMOND randomized trial. Diabetes Care. 2018;41(6):1227–34. https://doi.org/10.2337/dc17-1821.

CAS  Article  PubMed  PubMed Central  Google Scholar 

Cameron C, Coyle D, Ur E, Klarenbach S. Cost-effectiveness of self-monitoring of blood glucose in patients with type 2 diabetes mellitus managed without insulin. CMAJ Can Med Assoc J. 2010;182(1):28–34. https://doi.org/10.1503/cmaj.090765.

Article  Google Scholar 

Alotaibi A, Al Khalifah R, McAssey K. The efficacy and safety of insulin pump therapy with predictive low glucose suspend feature in decreasing hypoglycemia in children with type 1 diabetes mellitus: a systematic review and meta-analysis. Pediatr Diabetes. 2020;21(7):1256–67. https://doi.org/10.1111/pedi.13088.

CAS  Article  PubMed  Google Scholar 

Janez A, Battelino T, Klupa T, Kocsis G, Kuricová M, Lalić N, Stoian AP, Prázný M, Rahelić D, Šoupal J, Tankova T, Zelinska N. Panel urges expanded technology access for people with type 1 diabetes. Accessed November 24, 2021. https://www.univadis.com/viewarticle/panel-urges-expanded-technology-access-for-people-with-type-1-diabetes-4fceb6a6-1eb6-38ca-8d88-f546ec0d3e89

Hussain T, Akle M, Nagelkerke N, Deeb A. Comparative study on treatment satisfaction and health perception in children and adolescents with type 1 diabetes mellitus on multiple daily injection of insulin, insulin pump and sensor-augmented pump therapy. SAGE Open Med. 2017;5:2050312117694938. https://doi.org/10.1177/2050312117694938.

Article  PubMed  PubMed Central  Google Scholar 

Bailey TS, Stone JY. A novel pen-based Bluetooth-enabled insulin delivery system with insulin dose tracking and advice. Expert Opin Drug Deliv. 2017;14(5):697–703. https://doi.org/10.1080/17425247.2017.1313831.

CAS  Article  PubMed  Google Scholar 

O’Connor MR, Carlin K, Coker T, Zierler B, Pihoker C. Disparities in insulin pump therapy persist in youth with type 1 diabetes despite rising overall pump use rates. J Pediatr Nurs. 2019;44:16–21. https://doi.org/10.1016/j.pedn.2018.10.005.

Article  PubMed  Google Scholar 

Puckett C, Wong JC, Daley TC, Cossen K. How organizations shape medical technology allocation: Insulin pumps and pediatric patients with type 1 diabetes. Soc Sci Med. 1982;2020(249):112825. https://doi.org/10.1016/j.socscimed.2020.112825.

Article  Google Scholar 

NCD - Infusion Pumps (280.14). Accessed November 17, 2021. https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=223&ncdver=2

Lee SWH, Chan CKY, Chua SS, Chaiyakunapruk N. Comparative effectiveness of telemedicine strategies on type 2 diabetes management: a systematic review and network meta-analysis. Sci Rep. 2017;7:12680. https://doi.org/10.1038/s41598-017-12987-z.

CAS  Article  PubMed  PubMed Central  Google Scholar 

Verhoeven F, Tanja-Dijkstra K, Nijland N, Eysenbach G, van Gemert-Pijnen L. Asynchronous and synchronous teleconsultation for diabetes care: a systematic literature review. J Diabetes Sci Technol. 2010;4(3):666–84. https://doi.org/10.1177/193229681000400323.

Article  PubMed  PubMed Central  Google Scholar 

Medicare and Medicaid Programs; Policy and regulatory revisions in response to the COVID-19 public health emergency. Federal register. Published April 6, 2020. Accessed November 24, 2021. https://www.federalregister.gov/documents/2020/04/06/2020-06990/medicare-and-medicaid-programs-policy-and-regulatory-revisions-in-response-to-the-covid-19-public

Lu H, Holt JB, Cheng YJ, Zhang X, Onufrak S, Croft JB. Population-based geographic access to endocrinologists in the United States, 2012. BMC Health Serv Res. 2015;15:541. https://doi.org/10.1186/s12913-015-1185-5.

Article  PubMed  PubMed Central  Google Scholar 

Su D, Zhou J, Kelley MS, et al. Does telemedicine improve treatment outcomes for diabetes? A meta-analysis of results from 55 randomized controlled trials. Diabetes Res Clin Pract. 2016;116:136–48. https://doi.org/10.1016/j.diabres.2016.04.019.

Article  PubMed  Google Scholar 

Isaacs T, Hunt D, Ward D, Rooshenas L, Edwards L. The inclusion of ethnic minority patients and the role of language in telehealth trials for type 2 diabetes: a systematic review. J Med Internet Res. 2016;18(9):e6374. https://doi.org/10.2196/jmir.6374.

Article  Google Scholar 

Myers A, Presswala L, Bissoonauth A, et al. Telemedicine for disparity patients with diabetes: the feasibility of utilizing telehealth in the management of uncontrolled type 2 diabetes in black and Hispanic disparity patients; a pilot study. J Diabetes Sci Technol. 2020;15(5):1034–41. https://doi.org/10.1177/1932296820951784.

Article  PubMed  PubMed Central  Google Scholar 

Carter EL, Nunlee-Bland G, Callender C. A patient-centric, provider-assisted diabetes telehealth self-management intervention for urban minorities. Perspect Health Inf Manag AHIMA Am Health Inf Manag Assoc. 2011;8(Winter):1b.

Google Scholar 

Weinstock RS, Teresi JA, Goland R, et al. Glycemic control and health disparities in older ethnically diverse underserved adults with diabetes: five-year results from the informatics for diabetes education and telemedicine (IDEATel) study. Diabetes Care. 2011;34(2):274–9. https://doi.org/10.2337/dc10-1346.

Article  PubMed  PubMed Central  Google Scholar 

Oseran AS, Rao K, Chang Y, et al. HbA1c-triggered endocrinology electronic consultation for type 2 diabetes management. J Gen Intern Med. Published online October 4, 2021. https://doi.org/10.1007/s11606-021-07157-x

Patel PS, Jiang B, Marcelli M, Mediwala SN, Vasudevan MM. Electronic consultation: an effective alternative to in-person clinical care for patients with diabetes mellitus. J Diabetes Sci Technol. 2019;13(1):152–3. https://doi.org/10.1177/1932296818807472.

Article  PubMed  Google Scholar 

Heitkemper EM, Mamykina L, Travers J, Smaldone A. Do health information technology self-management interventions improve glycemic control in medically underserved adults with diabetes? A systematic review and meta-analysis. J Am Med Inform Assoc JAMIA. 2017;24(5):1024–35. https://doi.org/10.1093/jamia/ocx025.

Article  PubMed 

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