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Increasing Insulin Pump Use Among 12- to 26-Year-Olds With Type 1 Diabetes: Results From the T1D Exchange Quality Improvement Collaborative
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posted on 2021-06-30, 21:18 authored by Sarah K. Lyons, Osagie Ebekozien, Ashley Garrity, Don Buckingham, Ori Odugbesan, Sarah Thomas, Nicole Rioles, Kathryn Gallagher, Rona Sonabend, Ilona Lorincz, G. Todd Alonso, Manmohan K. Kamboj, Joyce M. LeeInsulin
pump therapy in pediatric type 1 diabetes has been associated with better
glycemic control than multiple daily injections. However, insulin pump use
remains limited. This article describes an initiative from the T1D Exchange
Quality Improvement Collaborative aimed at increasing insulin pump use in
patients aged 12–26 years with type 1 diabetes from a baseline of 45% in May
2018 to >50% by February 2020. Interventions developed by participating
centers included increasing in-person and telehealth education about insulin
pump technology, creating and distributing tools to assist in informed
decision-making, facilitating insulin pump insurance approval and onboarding
processes, and improving clinic staff knowledge about insulin pumps. These
efforts yielded a 13% improvement in pump use among the five participating centers,
from 45 to 58% over 22 months.