ESPE Yearbook of Paediatric Endocrinology

Brief Summary: This randomized-control study at two rural hospitals in Malawi investigated the feasibility of continuous glucose monitoring (CGM) to improve care of patients with Type 1 diabetes (T1D) in a low-income and limited literacy setting. CGM was feasible with potential benefits, but the authors highlight several challenges in implementing advanced diabetes care in such settings.This trial 2:1 randomized 45 patients with T1D to Dexcom G6 CGM (n=3...

Brief Summary: This systematic analysis examined the prevalence of type 1 diabetes (T1D) and type 2 diabetes (T2D) burden from 1990 to the present, in relation to location, age, and gender, and made projections to the year 2050. It reports that the prevalence of T2D will continue to rise, with rising obesity being the primary factor.According to the International Diabetes Federation (IDF), there were 537 million people with diabetes worldwide in 2021, an...

Brief Summary: This retrospective study analyzed data from real-world users of the MiniMed™ 780G System. Hybrid closed-loop algorithms have proven to be successful in achieving glycemic goals in people with diabetes. This performance has been consistently observed in various age groups and geographic areas.After the introduction of the first commercial automated insulin systems in 2016, the number and variety of these devices expanded rapidly (1). T...

Brief Summary: This multicenter, observational study compared the treatment of diabetes and outcomes between 2 distinct refugee communities in German-speaking countries and among native children in the same countries. The use of advanced diabetes technologies, such as insulin pumps or automated insulin delivery (AID) systems, is restricted by the refugee status. Additionally, parameters such as HbA1c and body mass index (BMI) have been identified to differ by country of origin...

Brief Summary: This article evaluates the social conditions and global inequalities that shape patient-led innovation in the context of type 1 diabetes (T1D). The multidisciplinary team used an empirical sociological approach combined with normative ethical analyses. They conclude that open-source, patient-led innovation should be developed with a proactive strategy primarily targeting groups experiencing inequalities in access to health services.The acc...