Racial–ethnic disparities in technology use have been described in children with type 1 diabetes (T1D). It is not known whether these emerge early in disease management. This single-center retrospective study examined disparities in continuous glucose monitor (CGM) initiation and durability in the first-year after diagnosis of T1D in children. Of 345 eligible children, 46% started CGM within their first year. In non-Hispanic white (NHW) children, 51% started using CGM versus 28% of non-Hispanic black (NHB) children (P = 0.006). After stratifying by commercial/government insurance, a proxy for socioeconomic status, this difference persisted among those with commercial insurance. One-year post-CGM initiation, 96% (125/130) of NHW children were using CGM versus 73% (11/15) of NHB children (P = 0.003). Disparities in CGM use emerge early in care of children with T1D, with lower rates of initiation and sustained use of CGM in NHB children. Strategies addressing causes of these disparities should begin early in T1D management.

中文翻译：

---

连续血糖监测在儿科 1 型糖尿病中使用的早期种族/民族差异

在 1 型糖尿病 (T1D) 儿童中描述了技术使用方面的种族差异。目前尚不清楚这些是否出现在疾病管理的早期。这项单中心回顾性研究检查了儿童诊断为 T1D 后第一年连续血糖监测 (CGM) 启动和持久性的差异。在 345 名符合条件的儿童中，46% 的儿童在第一年就开始了 CGM。在非西班牙裔白人 (NHW) 儿童中，51% 的人开始使用 CGM，而非西班牙裔黑人 (NHB) 儿童的这一比例为 28% ( P  = 0.006)。在通过商业/政府保险（社会经济地位的代表）进行分层后，这种差异在商业保险人群中持续存在。CGM 开始后一年，96% (125/130) 的 NHW 儿童使用 CGM，而 73% (11/15) 的 NHB 儿童使用 CGM（P = 0.003)。CGM 使用的差异出现在 T1D 儿童的早期护理中，NHB 儿童中 CGM 的启动率和持续使用率较低。解决这些差异原因的策略应在 T1D 管理的早期开始。