{
  "abstract": "Aim: To assess the effectiveness of insulin pump therapy in improving glycemic control and to determine the frequency of insulin pump use among our type 1 diabetes (T1DM) patients and the factors associated with its use.\n\nMethods: We conducted a retrospective chart review of 487 patients aged 2–18 years with a diagnosis of T1DM who attended UT pediatric endocrinology clinics between July 2020 and October 2023. Data collected included demographics, insurance type, and HbA1c values at baseline, 6 months after pump initiation, and at the most recent follow-up.\n\nResults: Data show that 169 out of 487 patients (34.7 %) were prescribed insulin pumps, ‎with a mean age 13.72 ± 3.8 years, and 54.4% were males. Insulin pump use was 59% among non-Hispanic whites, 21.6% among Hispanics, 16.2% among African Americans, 23% among other racial and ethnic groups, 2.9% among Spanish-speaking patients, 20.9% among patients with Medicaid, and 52.8% among patients with private insurance. Data for baseline HbA1c and 6 months after initiation of insulin pump were available for 83 patients and showed a mean baseline HbA1c 7.98% and 6-month HbA1c 7.72% (P < 0.05). Median HbA1c in the most recent follow-up visit among insulin pump users was 7.8 % vs 9.4% (p < 0.001) among patients on multiple daily injections.\n\nConclusions: Results show a significant improvement in ‎hemoglobin A1c after starting an insulin pump, ‎indicating better glycemic control. Also, the data ‎demonstrate demographic disparities in insulin ‎pump use among pediatric patients with T1DM. ‎Data showed that insulin pump use was ‎significantly lower in racial/ethnic minorities, ‎Spanish-speaking patients, and in patients on public health insurance. Further research is ‎needed to identify and address barriers to ‎diabetes technology use.‎\n\nKey messages: • Use of technology in pediatric diabetes.\n\n• Technology and demographic disparity.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "abstract",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "name": "S Mahmoud"
    },
    {
      "name": "A Shah"
    },
    {
      "name": "M Yafi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3d7g068d0jys9.bib",
  "cited_by": 0,
  "doi": "10.1093/eurpub/ckag169.1047",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13698606/",
  "id": "3d7g068d0jys9",
  "issns": [
    "1101-1262",
    "1464-360X"
  ],
  "landing_url": "https://doi.org/10.1093/eurpub/ckag169.1047",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
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      "heading",
      "6. Poster Displays"
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    [
      "heading",
      "AcademicSubjects/MED00860"
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      "AcademicSubjects/SOC01210"
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    [
      "heading",
      "AcademicSubjects/SOC02610"
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    [
      "openalex",
      "2712|Diabetes Management and Research"
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  "openalex": "W7223652357",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13698606/pdf/?tool=EBI",
  "pmcid": "PMC13698606",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/3d7g068d0jys9.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:27Z",
      "native_id": "PMC13698606",
      "source": "pmc",
      "url": "https://doi.org/10.1093/eurpub/ckag169.1047"
    },
    {
      "first_seen": "2026-10-30T12:21:31Z",
      "native_id": "PMC:PMC13698606",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13698606"
    }
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2712|Diabetes Management and Research",
      "subfield": "endocrinology-metabolism"
    }
  ],
  "title": "Insulin pump use in pediatric patients with type 1 diabetes mellitus and demographic disparity",
  "title_text": "Insulin pump use in pediatric patients with type 1 diabetes mellitus and demographic disparity",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:35:26Z",
  "url": "https://research.draconitic.com/paper/3d7g068d0jys9",
  "venue": "The European Journal of Public Health",
  "versions": []
}