Original ArticlePredictors of Insulin Regimens and Impact on Outcomes in Youth with Type 1 Diabetes: The SEARCH for Diabetes in Youth Study
Section snippets
Methods
Data for this analysis are from the SEARCH for Diabetes in Youth study, a multicenter population-based observational study of physician-diagnosed nongestational diabetes mellitus (DM) in youth aged less than 20 years at DM diagnosis. Detailed study methods have been described previously; the study was approved by the appropriate institutional review boards.14 In brief, SEARCH began conducting population-based ascertainment of children <20 years old with DM in 2001 and continues through the
Results
Age, disease duration, and sociodemographic characteristics are shown for the 2743 youth in the study population (Table I).
Discussion
In this racially and ethnically diverse cohort of youth with T1DM, we found that basal-bolus therapy (as insulin pump or glargine plus rapid-acting insulin) was used in less than half of all participants, with more than one fourth receiving 1 to 2 injections daily. Even when adjusted for income and education, children of minority groups, especially African-American participants, were less likely to be treated with basal-bolus therapy than were non-Hispanic whites. Not surprisingly, insulin pump
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Funding and conflict of interest information available at www.jpeds.com (Appendix).