Abstract

Background: The management of type 1 diabetes (T1D includes aiming to achieve optimal glucose management to avoid complications, but this remains a challenge.) Aim: To identify factors related to optimal glycemic management (A1c Methods: The analysis included 8,062 T1D adults (18 - 65 years) in the T1DX-QI database for whom electronic medical record data were available, with at least one completed clinic encounter July 2017 - February 2020. Results: In this population (age range 18 to 65 years), 20% (N=1,609) of T1D adults had optimal glycemic management (A1c Conclusion: These real-world data highlight racial disparities, the difficulty achieving A1c Disclosure N. Rioles: None. S. Polsky: Advisory Panel; Self; Medtronic, Consultant; Self; National Institutes of Health, Research Support; Self; Dexcom, Inc., Eli Lilly and Company, JDRF, Medtronic, National Institute of Diabetes and Digestive and Kidney Diseases, Sanofi US, T1D Exchange. O. Ebekozien: None. N. Noor: Research Support; Self; Dexcom, Inc. F. Vendrame: None. M. Basina: None. R. S. Weinstock: Research Support; Self; Boehringer Ingelheim International GmbH, Diasome Pharmaceuticals, Inc., Eli Lilly and Company, Insulet Corporation, Kowa Research Institute, Inc., Medtronic, Tolerion, Inc. Funding The Leona M. and Harry B. Helmsley Charitable Trust

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