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

Evidence Suggest

• 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

Who this applies to

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.

Keep in Mind

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.

Between the Lines

• 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