Starting Technology in At Risk Type 1 Diabetes Study

Description

Diabetes technology has revolutionized T1D management, disparities in technology access are evident among racial-ethnic minorities, patients with lower socioeconomic status and those with poorly controlled T1D (A1c\>8.5%). In order to examine whether diabetes technology can reduce diabetes care burdens and enhance outcomes among some of highest need patients, diabetes technology clinical trials must be expanded beyond the very select populations included in studies thus far (ie., mostly White, higher SES). Therefore, the investigators propose to perform a pilot RCT of hybrid closed-loop insulin pump therapy (HCL) in 40 diverse adult patients with poorly controlled T1D (HbA1c \>8.5%) from the largest academic and safety net health systems in the Los Angeles region to determine the feasibility of a RCT in this population and identify facilitators and barriers of effective use of closed loop insulin pump therapy in patients with poorly controlled T1D.

Conditions

Diabetes Mellitus, Type 1

Study Overview

Study Details

Study overview

Diabetes technology has revolutionized T1D management, disparities in technology access are evident among racial-ethnic minorities, patients with lower socioeconomic status and those with poorly controlled T1D (A1c\>8.5%). In order to examine whether diabetes technology can reduce diabetes care burdens and enhance outcomes among some of highest need patients, diabetes technology clinical trials must be expanded beyond the very select populations included in studies thus far (ie., mostly White, higher SES). Therefore, the investigators propose to perform a pilot RCT of hybrid closed-loop insulin pump therapy (HCL) in 40 diverse adult patients with poorly controlled T1D (HbA1c \>8.5%) from the largest academic and safety net health systems in the Los Angeles region to determine the feasibility of a RCT in this population and identify facilitators and barriers of effective use of closed loop insulin pump therapy in patients with poorly controlled T1D.

Starting Technology in At Risk Type 1 Diabetes (STAR-T1D) Study

Starting Technology in At Risk Type 1 Diabetes Study

Condition
Diabetes Mellitus, Type 1
Intervention / Treatment

-

Contacts and Locations

Santa Monica

UCLA, Santa Monica, California, United States, 90404

Torrance

Harbor-UCLA Medical Center, Torrance, California, United States, 90502

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Type 1 Diabetes
  • * A1c \>8.5%
  • * Not insulin pump user
  • * Primary language of English or Spanish
  • * Have medical insurance coverage
  • * No measured A1c in the past year
  • * Have comorbidities that can result in inaccurate hemoglobin A1c
  • * Have cognitive, physical or mental impairment precluding diabetes technology use
  • * Limited life expectancy (\<1 year)
  • * Pregnancy

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of California, Los Angeles,

Study Record Dates

2027-06