Type of publication:
Conference abstract
Author(s):
*Jones A.; *Basavaraju N.; *Cane C.; *Moulik P.
Citation:
Diabetes Technology and Therapeutics. Conference: Advanced Techologies and Treatments for Diabetes Conference, ATTD 2024. Virtual. 26(Supplement 2) (pp A326-A327), 2024. Date of Publication: 01 Feb 2024.
Abstract:
Background and Aims: There may be a bias towards use of expensive technological innovations in people from higher socioeconomic classes. We explored patient experiences and outcomes in different socioeconomic backgrounds with T1diabetes( T1DM) treated with insulin pumps. Method(s): Index of Multiple Deprivation (IMD), an official statistic based on income, education, employment, health, housing, crime and living environment was used to stratify patients into quintiles based on socioeconomic status. HbA1c, time in range(%TIR), %hypoglycaemia(%hypo), Diabetes Treatment Satisfaction Questionnaire (DTSQ), Type 1 Diabetes Distress score (T1DDS), Hypoglycaemia fear survey (HypoFS) and Insulin dosing systems, perceptions, ideas, reflections and expectations (INSPIRE) scores in different IMD quintiles were analysed. Result(s): 302 patients were included: mean age 44 years (range 19-81), male:female 43:57 diabetes duration 25years (range 2- 61). 218 were on hybrid closed-loop, 21 partial closed-loop and 63 on non-closed-loop CSII. All were on CGM. Mean HbA1c (53.7vs52.6mmol/mol, correlation r = -0.059,p = 0.3), %TIR (67.7vs70.1%,r = -0.053,p = 0.36) and %hypo (2.29vs1.58%,r = -0.117,p = 0.043) had a trend to be worse in lower socioeconomic classes but correlation was not statistically significant apart from in %hypo. Mean DTSQ and INSPIRE scores were similar between social classes but mean T1DDS (52.8vs41.8,r = -0.189,p = 0.007) and HypoFS (41.7vs29.9,r = -0.145,p = 0.038) scores were worse in lowest compared to highest social quintile. Conclusion(s): Outcomes on CSII and CGM were broadly similar across all social backgrounds. There was statistically significant correlation, albeit low, between lower socioeconomic class and hypoglycaemia. This may explain the higher greater diabetes distress and hypoglycaemia fear in lower socioeconomic classes. Diabetes treatment satisfaction including with HCL were similar.
