{"doi":"10.2337/dc22-2121","title":"Increased Technology Use Associated With Lower A1C in a Large Pediatric Clinical Population","abstract":"OBJECTIVE: While continuous glucose monitors (CGMs), insulin pumps, and hybrid closed-loop (HCL) systems each improve glycemic control in type 1 diabetes, it is unclear how the use of these technologies impacts real-world pediatric care. RESEARCH DESIGN AND METHODS: We found 1,455 patients aged <22 years, with type 1 diabetes duration >3 months, and who had data from a single center in between both 2016-2017 (n = 2,827) and 2020-2021 (n = 2,731). Patients were grouped by multiple daily injections or insulin pump, with or without an HCL system, and using a blood glucose monitor or CGM. Glycemic control was compared using linear mixed-effects models adjusting for age, diabetes duration, and race/ethnicity. RESULTS: CGM use increased from 32.9 to 75.3%, and HCL use increased from 0.3 to 27.9%. Overall A1C decreased from 8.9 to 8.6% (P < 0.0001). CONCLUSIONS: Adoption of CGM and HCL was associated with decreased A1C, suggesting promotion of these technologies may yield glycemic benefits.","journal":"Diabetes Care","year":2023,"id":326487,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":28,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.6084,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":533259,"name":"Taylor M. Triolo","orcid":"0000-0003-4796-6542","position":1,"is_corresponding":false},{"id":861459,"name":"Halis Kaan Aktürk","orcid":"0000-0003-4518-5179","position":2,"is_corresponding":false},{"id":667637,"name":"MEGHAN E. PAULEY","orcid":"0000-0002-5699-7108","position":3,"is_corresponding":false},{"id":1045981,"name":"Marisa Sobczak","orcid":null,"position":4,"is_corresponding":false},{"id":588949,"name":"Gregory P. Forlenza","orcid":"0000-0003-3607-9788","position":5,"is_corresponding":false},{"id":1045982,"name":"Casey Sakamoto","orcid":null,"position":6,"is_corresponding":false},{"id":254435,"name":"Laura Pyle","orcid":"0000-0001-5577-8221","position":7,"is_corresponding":false},{"id":96013,"name":"Brigitte I. Frohnert","orcid":"0000-0002-6636-4048","position":8,"is_corresponding":false},{"id":1045516,"name":"G. Todd Alonso","orcid":"0000-0002-5676-761X","position":0,"is_corresponding":true}],"reference_count":17,"raw_metadata":null,"created_at":"2026-07-19T01:08:33.106703Z","pmid":"37023293","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}