Introduction & Objective: Academic medical centers have identified disparities in access to diabetes technology. This analysis performed a self-assessment of potential inequities in access to diabetes technology at this medical center, including CGMs, insulin pumps, and insulin pens, to guide our community outreach efforts.
Methods: This study analyzed deidentified EMR data using multivariable logistic regressions to determine the association of social determinants (age, sex, race-ethnicity, insurance, and neighborhood socioeconomic disadvantage) with technology use among adults (ages≥18) with T1D.
Results: Of 1,480 patients with T1D seen at UVA Health in 2022, 479 accessed CGMs, 370 used pumps, and 133 used insulin pens. For CGMs, older age (80+ years), Non-Hispanic Black (NHB) race-ethnicity, public insurance and uninsured status related to lesser use/access. For pumps, female gender related to higher usage while NHB race-ethnicity and public insurance and uninsured status were associated with less use. Hispanic ethnicity was associated with higher pen use while Medicare/uninsured status related to with less use. (Fig 1.)
Conclusion: The majority of center patients do not use advanced technology for diabetes management, indicating that outreach efforts should target all racial-ethnic/SES groups with extra effort focusing on NHB groups and those with public/no insurance.
M. Hall: None. C. Rodriguez: None. L. Gonder-Frederick: None.
Lomar Foundation
