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Emergent inequity of glycaemic metrics for Māori children with type 1 diabetes is negated by early use of continuous glucose monitoring

Making Education Easy

From Māori Health Review Issue 111
Authors:
  • Stedman L et al.
Summary:

Use of continuous glucose monitoring (CGM) within 12 months of type 1 diabetes diagnosis ameliorates ethnic disparity in glycaemic control in children, according to an analysis of data from the KIWIDIAB network. Data were collected for 206 children aged <15 years diagnosed between 1 October 2020 and 1 October 2021. CGM use was 56.7% for Māori and 77.2% for European children. At 12 months post-diagnosis, glycosylated haemoglobin (HbA1c) was 10.8 mmol/mol (95% CI 2.3-19.4 mmol/mol; p = 0.013) higher in Māori vs European children without CGM, but was similar between ethnic groups in those using CGM.

Comment:
Miharo to see these devices are now funded by Pharmac. Please check the website for more information – https://pharmac.govt.nz/news-and resources/cgms-and-insulin-pumps. Ka rawe!
Reference: N Z Med J. 2024;137(1598):14-21.
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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