Remote education program improves carbohydrate counting but not blood sugar control in youth with type 1 diabetes

• Remote multiprofessional education improves carbohydrate counting adherence in youth with type 1 diabetes
• Short-term remote education alone may be insufficient to improve glycemic control in children with suboptimal HbA1c
• Girls and parents/caregivers report lower quality of life, suggesting the need for targeted support

Children and adolescents aged 1-18 years with type 1 diabetes and suboptimal glycemic control (HbA1c above recommended levels). Results are most relevant to similar populations in Brazil and other Latin American settings.

This was a small, open-label study with relatively short follow-up. The findings may not apply to youth with well-controlled diabetes, those using insulin pumps, or populations in settings with different healthcare infrastructure. Both groups received CGM, which may have reduced the apparent benefit of the educational program.

• Small sample size (n=46) limits statistical power for subgroup analyses
• Open-label design introduces potential bias for subjective outcomes (quality of life)
• CGM provided to both groups may have diluted the measurable intervention effect
• Short 6-month follow-up may be insufficient to observe metabolic improvements