916-P: The Demographic Variables Associated with Diabetes Technology Knowledge or Use in Adults with Type 2 Diabetes

Abstract

Background: Studies in populations with type 1 diabetes highlight the racial-ethnic disparities in the use of diabetes technology. Our project aims to investigate racial-ethnic and socioeconomic disparities in diabetes technology knowledge and use in adult patients with type 2 diabetes (T2D) in ambulatory setting. Method: We recruited adults aged 40 and older with T2D who visited one of four internal medicine practices between July 1, 2018 and June 30, 2021. We selected patients in the electronic record who use insulin, have English as a primary language, and have an email address. Eligible participants were invited to participate via an email link to a REDCap questionnaire. All variables were summarized descriptively using frequencies and percentages, and were compared across groups using Pearson’s Chi-Square Test or Fisher’s Exact Test. Results: We included 116 patients in the analysis, most of whom were white (62%), elderly Medicare recipients. Those who are of racial-ethnic minoritized groups are less likely to have knowledge of CGM (p = 0.013) or insulin pumps (p = 0.001). Patients who have high school education or less have less awareness of insulin pumps (p = 0.041). Interestingly, neither awareness nor use of CGM or insulin pump were found to be associated with income. Conclusion: This cross-sectional analysis suggests that racial-ethnic minoritized groups or those with lower education have lower knowledge of CGM or insulin pumps and this disparity cannot be explained by differences in socioeconomic status. Providers need to be aware of their potential implicit biases in relation to education and prescription of diabetes technology. Disclosure Y.Ye: None. B.A.Acevedo-mendez: None. S.Izard: None. A.K.Myers: Research Support; Neurocrine Biosciences, Inc.