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01 - PEDIATRIC ENDOCRINOLOGY FELLOWS’ EDUCATION AND KNOWLEDGE ABOUT INSULIN PUMPS AND CONTINUOUS GLUCOSE MONITORS

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Abstract

Studies show improved glycemic control in pediatric patients using insulin pumps and CGMs to manage type 1 diabetes (T1D). Despite increasing use of these technologies, recent data show that the average A1c levels have increased in the United States. Sixty-one pediatric endocrinology fellows from 21 different training programs in North America were recruited to participate in an online educational curriculum about insulin pumps and CGMs. Data reported are from a pre-test assessment before beginning the curriculum. Despite consensus about the need for pediatric endocrinologists to understand these technologies, only 30% of fellows report having a formal curriculum at their institution. The mean score on 20 multiple choice questions was 36 ± 10%; there were no significant differences according to year of training. Mean scores were <20% on questions addressing the following concepts: insulin on board, features of different CGM systems, infusion set selection, CGM calibration, managing insulin pump disconnections, and CGM lag time. On a 5-point Likert scale (1: strongly disagree, 5: strongly agree), fellows report suboptimal confidence in their ability to manage patients using insulin pumps (3.4 ± 0.9) and CGMs (3.4 ± 0.9). Although senior fellows performed no better than first year trainees on multiple choice questions assessing objective knowledge, second and third year fellows self-reported greater knowledge. Fellows’ knowledge and education about the use of insulin pumps and CGMs for the management of T1D is suboptimal. Wider implementation of formal diabetes technology curricula is needed. An ongoing study aims to assess the impact of an online, case-based educational curriculum, Technology Knowledge Optimization in Type 1 Diabetes (TeKnO T1D), on fellows’ knowledge of these technologies.

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© Copyright 2019 Morressier GmbH.
All rights reserved.