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Racial disparities in treatment and outcomes of children with type 1 diabetes

Pediatric Diabetes Mar 05, 2021

Lipman TH, Smith JA, Patil O, et al. - Through reviewing electronic health records of children (< 18 years) attending a large, pediatric tertiary care diabetes center in the United States between October 1, 2018, and December 31, 2019, researchers sought to evaluate racial disparities in treatments and outcomes between Non‐Hispanic black, Hispanic and Non‐Hispanic white children with type 1 diabetes (T1D). The sample consisted of 1,331 children (47% female) with a median (IQR) age of 14.2 (11.5, 16.3) years and T1D duration of 5.8 (3.8, 9) years. There was no racial disparity in the number of appointments attended. Regardless of insurance status, racial inequalities in technology use and diabetes outcomes persist in children with T1D. Pediatric health care providers should remain aware of racial disparities in the treatment of diabetes in order to ensure equitable care. When studying the etiology of these health disparities, the impact of provider and patient factors should be explored.

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