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Updated data from the Type 1 Diabetes Exchange clinic registry

Play the video to watch Professor Thomas Danne describing the effects of new technologies on glycaemic control
Now, let’s take a look at how the new technologies are doing in terms of improvement of A1c. I have some discomfiting news in this regard, again coming from the Type 1 Diabetes Exchange. Please appreciate that these are the most advanced clinics in the United States. They have seen an increase in the use of technology from below 5% to above 30% in many of their patients. So, you might expect the A1c to improve. But this slide show that in the most recent analysis, the A1c is increasing. This suggests that all the added information might be perceived as an added burden for many patients, which may lead to an actual deterioration of control. It is therefore important to pair technology with a lot of educational and other support measures in order to achieve better glycaemic control. Technology alone is not going to make the major difference in improving glycaemic control and the prognosis in patients with type 1 diabetes.
Select image for larger view

Legend
HbA1c: glycated haemoglobin
NA: not available


Beck RW, Tamborlane WV, Bergenstal RM, Miller KM, DuBose SN, Hall CA; T1D Exchange Clinic Network. The T1D Exchange clinic registry. J Clin Endocrinol Metab. 2012 Dec;97(12):4383-9.
http://www.ncbi.nlm.nih.gov/pubmed/22996145

Miller KM, Foster NC, Beck RW, Bergenstal RM, DuBose SN, DiMeglio LA, Maahs DM, Tamborlane WV; T1D Exchange Clinic Network. Diabetes Care. 2015 Jun;38(6):971-8
http://www.ncbi.nlm.nih.gov/pubmed/25998289

Foster NC, Beck RW, Miller KM, Clements MA, Rickels MR, DiMeglio LA, Maahs DM, Tamborlane WV, Bergenstal R, Smith E, Olson BA, Garg SK. State of Type 1 Diabetes Management and Outcomes from the T1D Exchange in 2016–2018 Diabetes Technol Ther. 2019 Feb;21(2):66-72
http://www.ncbi.nlm.nih.gov/pubmed/30657336