Canadian journal of diabetes最新文献

{"title":"Real-world impact of type 2 diabetes mellitus in employer-sponsored benefit plans.","authors":"Godfrey Mau, Julie Hviid Hahn-Pedersen","doi":"10.1016/j.jcjd.2025.10.170","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.10.170","url":null,"abstract":"<p><strong>Aims: </strong>To quantify the health benefit costs associated with type 2 diabetes mellitus (T2D) among employees aged 40-59 years in Canadian employer-sponsored benefit plans.</p><p><strong>Methods: </strong>We analyzed a self-insured health benefit plan database of over 100,000 employees during 2019-2023 in Canada. Employees with T2D or no diabetes were identified, and claims were examined across prescription drug, extended health care (EHC), short-term disability (STD), and long-term disability (LTD).</p><p><strong>Results: </strong>In 2023, employees with T2D (n=3,575) had higher annual per-person total benefits cost of $6,488 versus $3,003 for those without diabetes (n=31,314). This was mainly due to higher drug claims ($3,471 vs. $1,047) and LTD claims ($1,745 vs. $983). A greater proportion of employees with T2D had a disability claim compared to those without (LTD: 9.6% vs. 5.5%, age-adjusted prevalence ratio: 1.64; STD: 8.6% vs. 5.4%, age-adjusted prevalence ratio: 1.63). The greatest difference in disability claims was for cardiovascular conditions (LTD: 0.48% vs. 0.06%, age-adjusted prevalence ratio: 7.77; STD: 0.48% vs. 0.08%, age-adjusted prevalence ratio: 7.65).</p><p><strong>Conclusions: </strong>This study underscores the substantial economic impact of T2D across health benefits for employers, highlighting the opportunity for employers to better manage diabetes by ensuring access to innovative medications and disease management programs for their members.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145305044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"It's a chronic, vicious, cycle\": diabetes health professionals' perceptions of the impact of knee osteoarthritis on type 2 diabetes management.","authors":"Joy Du, Esther J Waugh, Rebecca Voth, Crystal MacKay, Ian Stanaitis, Gillian A Hawker, Lorraine L Lipscombe, Lauren K King","doi":"10.1016/j.jcjd.2025.10.169","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.10.169","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes (T2D) and knee osteoarthritis (OA) frequently co-occur, and concomitant knee OA increases risk for diabetes complications. Despite this, OA is frequently undertreated. Diabetes health professionals' (HPs') perceptions of the impact of knee OA in people with T2D may impact how it is addressed in clinical practice. We aimed to understand how diabetes HPs perceive the impact of knee OA on diabetes management and outcomes.</p><p><strong>Methods: </strong>In this qualitative study we performed a secondary analysis of semi-structured interviews with 18 diabetes HPs (primary care providers, endocrinologists, and diabetes educators) in Ontario, Canada. Transcripts were inductively coded and thematically analyzed.</p><p><strong>Results: </strong>We developed three themes: 1) Patients commonly raise OA-related concerns during diabetes appointments; 2) Impact of OA on diabetes management; and 3) Conscious disconnect between perceived patient and HP priorities. Diabetes HPs recognized that knee OA commonly co-occurred in their patients. Most HPs perceived that OA has deleterious effects on diabetes management through physical inactivity, as well as other mechanisms. Despite observing OA's impact on their patients, most participants did not address OA due to the focused structure of diabetes appointments, \"single problem\" appointments, and culture of siloed care.</p><p><strong>Conclusions: </strong>Diabetes HPs recognized the high prevalence of knee OA in their patients and its deleterious effects on diabetes management, though OA management was usually not prioritized. This highlights a missed opportunity in optimizing care for persons with T2D. Implementing strategies to promote OA care during diabetes visits may improve disease outcomes for both conditions.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145288071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postpartum Diabetes Screening and Conversion Rates Among Women Diagnosed with Gestational Diabetes Mellitus Using Standard versus Modified Criteria During the COVID-19 Pandemic.","authors":"Sonia Butalia, Olesya Barrett, Anamaria Savu, Vichy Liyanage, Peter Senior, Roseanne O Yeung, Padma Kaul","doi":"10.1016/j.jcjd.2025.10.001","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.10.001","url":null,"abstract":"<p><strong>Aims: </strong>To examine postpartum diabetes screening and rates in women diagnosed with gestational diabetes mellitus (GDM) using standard versus modified criteria during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Individuals with GDM pregnancies between January 1, 2020, and December 31, 2021, in Alberta, Canada, were stratified by the GDM diagnosis criteria used and followed for 18-months postpartum diabetes screening. Proportions of prediabetes and diabetes were compared between the standard versus modified GDM criteria groups at 6 and 18 months. Multivariable logistic regression analysis was used to examine differences in prediabetes and diabetes rates between the two GDM criteria groups after adjusting for baseline differences.</p><p><strong>Results: </strong>Among 10,238 individuals with GDM, 780 were diagnosed using the modified criteria and 9,458 using the standard criteria. There was no difference in the proportion of individuals who underwent postpartum screening by 6-months (27.1% versus 28.9%, p=0.29) or by 18-months (43.1% versus 45.3%, p=0.24), among modified and standard groups, respectively. Diabetes proportions were higher in women diagnosed with GDM using the modified criteria than in those diagnosed using the standard criteria (27.0% versus 4.2%, p<0.0001; adjusted odds ratio 8.18, 95% confidence interval 5.76-11.6). Proportions of prediabetes and diabetes at 18-months were 15.2% and 20.8% (p=0.014), and 29.8% and 6.1% (p<0.0001), among modified and standard groups, respectively.</p><p><strong>Conclusion: </strong>Regardless of the GDM diagnostic method, postpartum diabetes screening among women with GDM was suboptimal during the COVID-19 pandemic. The modified criteria for GDM identified a group of women who were at higher risk for conversion to diabetes.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial Experiences of Adolescents with Type 2 Diabetes: A Systematic Review and Meta-Synthesis.","authors":"Melissa Oxlad, Lorraine Smith, Tyla McNamara, Ashley Young, Ella Borrowdale, Alexia Pena","doi":"10.1016/j.jcjd.2025.09.004","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.09.004","url":null,"abstract":"<p><strong>Objective: </strong>Globally, the prevalence of Type 2 Diabetes (T2D) among adolescents is increasing. While T2D is known to bring physical health challenges, less is known about adolescents' psychosocial experiences of T2D. We aimed to identify and synthesize existing qualitative research about adolescents' psychosocial experiences of T2D to inform healthcare recommendations.</p><p><strong>Method: </strong>Guided by PRISMA and JBI guidelines, we conducted a systematic review and meta-synthesis using a meta-aggregative approach. We searched five electronic databases to identify qualitative or mixed-methods primary studies examining adolescents' psychosocial experiences of T2D, published in English, in a peer-reviewed journal from database inception to August 2024.</p><p><strong>Results: </strong>Eight studies were included, with findings aggregated into two synthesized findings related to the diagnosis of T2D and living with T2D. At diagnosis, adolescents had limited knowledge of T2D, often obtained via observing family members with T2D and desired further education. Adolescents also described a range of negative emotions, some of which influenced disclosure of their diagnosis. In living with T2D, adolescents contended with psychosocial challenges, with some viewing T2D as a burden and others as an opportunity for positive self-care and lifestyle changes. Adolescents described challenges with health behaviour changes and medical management. Social support was noted to be important.</p><p><strong>Conclusions: </strong>Adolescents with T2D have limited knowledge about the condition and desire greater education. They experience a range of emotions and challenges with T2D management and benefit from support. Based on our findings, we propose recommendations that may optimize adolescents' physical, psychological and social wellbeing.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns in the incidence (1994-2018) and prevalence (2004-2018) of type 1 and type 2 diabetes among Nova Scotian youth under 20 years.","authors":"Elizabeth A Cummings, Teresa Pinto, Maya Rao, Pam Talbot","doi":"10.1016/j.jcjd.2025.09.003","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.09.003","url":null,"abstract":"<p><strong>Aims: </strong>Rates of type 1(T1D) and type 2(T2D) diabetes in youth may be increasing globally; however, findings vary across populations. We aimed to determine changes in incidence and prevalence of T1D and T2D over a 25-year period (1994-2018) in youth under age 20 in Nova Scotia(NS).</p><p><strong>Methods: </strong>This population-based descriptive epidemiologic study used the Diabetes Care Program of NS Registry that prospectively collects population-based records for all cases of diabetes in youth. Incidence (1994-2018) and prevalence (2004-2018) of T1D and T2D were calculated per 100,000 for 5-year periods using national census population estimates(0-19yr) and analysed by sex, age group and rural vs urban residence.</p><p><strong>Results: </strong>Incidence (95% CI) of T1D rose from 26.4(23.0-29.7) in 1994-1998 to 37.9(33.3-42.6) in 2014-2018 in 0-14-year-olds. The average annual increase was 0.7(0.43, 0.97) per 100,000. Incidence appeared to plateau after 2008 except in 10-14-year-olds where it continued to rise. Prevalence (95% CI) of T1D for ages 0-19 years increased from 288.4(278.2-298.6) per 100,000 in 2004-2008 to 333.4(321.7-345.1) in 2014-18. Incidence of T2D in 10-19-year-olds rose from 2.9 per 100,000 in 1994-1998 to 13.0 per 100,000 in 2014-2018, and was higher in females and youth living in rural areas.</p><p><strong>Conclusions: </strong>Incidence of both types of diabetes in NS is high and continuing to rise. Patterns in T1D incidence align with those reported in other high-incidence populations. Incidence and prevalence of T2D in NS youth was similar to, or higher than, most previous reports despite the lower ethnic diversity in NS compared to other high incidence populations.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying Potential Sustainable and Scalable Interventions to Recognize Signs of Diabetes in Children Across Canada.","authors":"Zeenat Ladak, Priscilla Medeiros, Geneviève Rouleau, Jennifer Shuldiner, Shazhan Amed, Elizabeth Cummings, Manpreet Doulla, Josephine Ho, Mark Inman, Sarah E Lawrence, Patricia Li, Elizabeth Moreau, Meranda Nakhla, Julia Von Oettingen, Elizabeth Sellers, Diane K Wherrett, Rayzel Shulman, Celia Laur","doi":"10.1016/j.jcjd.2025.09.002","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.09.002","url":null,"abstract":"<p><strong>Introduction: </strong>Delayed diagnosis of diabetes in children can lead to diabetic ketoacidosis, a life-threatening condition occurring in 10-80% of children at diabetes diagnosis. Ketoacidosis is preventable with prompt recognition of signs, urgent attendance to care, and rapid diagnosis and management. The objective of this study was to plan for the development of an intervention to recognize signs of diabetes in children and prevent ketoacidosis, that is evidence and theory-informed and has potential for widespread implementation and long-term impact across Canada.</p><p><strong>Methods: </strong>This qualitative exploratory study included researchers, educators, parents, caregivers, and representatives from relevant healthcare organizations (n=41). Through targeted recruitment and snowball sampling, participants took part in a focus group or interview about opportunities to adapt, sustain, scale, and evaluate various diabetes awareness interventions. Transcripts were analyzed using content analysis to examine barriers and facilitators of potential interventions.</p><p><strong>Results: </strong>Participants proposed several interventions, including using posters, magnets, educational take-home cards, and mass media to increase awareness about the signs of diabetes in children and the need to rapidly seek care to prevent a delayed diagnosis. Each strategy was noted to have advantages, such as refrigerator magnets being visible for a long time, and disadvantages, such as high-cost resources required for mass media. Participants also identified challenges in evaluating interventions and about how to tailor strategies for specific populations while remaining relevant across Canada.</p><p><strong>Conclusion: </strong>This work informs the development, implementation, and evaluation of a Canadian strategy to recognize signs of diabetes in children and prevent a delay in diagnosis.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting the risk of COVID-19 among adult patients with diabetes: A machine learning approach.","authors":"Dean T Eurich, Darren Lau, Weiting Li, Olivia Weaver, Tanya Joon, Ming Ye, Finlay A McAlister, Padma Kaul, Salim Samanani","doi":"10.1016/j.jcjd.2025.09.001","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.09.001","url":null,"abstract":"<p><strong>Objectives: </strong>To develop a machine learning model that accurately predicts the risk of acquiring COVID-19 in community-dwelling adults with type 1 and/or type 2 diabetes in Alberta, Canada.</p><p><strong>Methods: </strong>This predictive supervised machine learning study included adults (>=18 years old) living in Alberta, Canada between April 1^st 2019-March 31^st 2021 with pre-existing diabetes (n=372,055, excluding n=2,541 due to migration; final sample size=369,514). The outcome of interest was a positive SARS-CoV-2 PCR test result between March 1st, 2020, and March 1st, 2021. Model features were extracted from routinely collected Alberta administrative health data from March 1^st 2015 to March 1^st 2020. Fifteen algorithms were trained on 67% of the data and the top performer (Light Gradient Boost Model, LGBoost) was validated on the remaining 33%. The model was calibrated, and model performance assessed using area under the receiver operating characteristic curve (AUROC), area under the precision recall curve (AUPRC) and threshold analyses.</p><p><strong>Results: </strong>Among 369,514 individuals with diabetes, 140,511 were tested of whom 13,082 had a positive SARS-CoV-2 test. The LGBoost model incorporated 367 features with AUROC and AUPRC of 0.69 and 0.08 respectively. The model was well-calibrated for common risk thresholds (<0.2 probability) with high specificity (>=0.98 at all thresholds), however sensitivity and positive predictive values were low at all thresholds (<=0.08 and <=0.18 respectively).</p><p><strong>Conclusions: </strong>The LGBoost model lacked the sensitivity to be clinically useful in predicting SARS-CoV-2 infection in Albertans with diabetes. Alternative data sources may be required to improve future COVID-19 prediction models from the community.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of group exercise classes as a source of motivation and support for those with diabetes - a silver bullet?","authors":"Lindsay S Nagamatsu, Joyla A Furlano, Samantha Marshall, Olivia Ghosh-Swaby, Gillian Rutherford, Jane Yardley","doi":"10.1016/j.jcjd.2025.08.005","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.08.005","url":null,"abstract":"","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The assessment of clinical factors influencing Glucose Management Indicator and Hba1c discordance in children with type one diabetes - one-year real-world data observation.","authors":"Grażyna Deja, Aleksandra Brudzińska, Łukasz Wybrańczyk, Rafal Deja, Przemysława Jarosz-Chobot","doi":"10.1016/j.jcjd.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.08.002","url":null,"abstract":"<p><strong>Objectives: </strong>Published data still highlighted discordances between GMI (parameter estimating HbA1c from CGM report) and laboratory HbA1c, with reasons yet to be explored. This study aimed: to identify potential clinical factors contributing to these discordances.</p><p><strong>Methods: </strong>A retrospective study of 99 children aged 12.92 (SD 4.03) using CGM devices (Dexcom G6-31, Libre 2-30, Guardian 3-38) was conducted. Inclusion criteria were: type 1 diabetes, continuous use of one type of CGM (with >70% sensor activity) over the last year, quarterly visits. At each visit, we collected data: age, sex, BMI, diabetes duration, daily insulin dose, CGM report (14/90 days) and laboratory HbA1c.</p><p><strong>Results: </strong>We confirmed linear dependency between HbA1c and GMI - higher HbA1c led to more HbA1c-GMI differences. The HbA1c-GMI 90 days discordance was categorized into four thresholds: 48.7% <0.25, 20.1% in the range 0.25-0.5, 22.4% in 0.5-0.75, and 8.7% >0.75. Children with HbA1c-GMI 90 discordance <0.5% had significantly lower HbA1c (6.80 vs 7.59%), shorter T1D duration (<5 years) and more stable HbA1c (differences <0.4 between results). The analysis of participants stability, based on comparing HbA1c-GMI 90 discordances at subsequent follow-up visits confirmed the individual variability <0.25 in two-thirds of participants. Other factors were not associated with the HbA1c-GMI discordance.</p><p><strong>Conclusion: </strong>One-year real-world data showed that clinically significant discordances (HbA1c-GMI 90 >0.5%) occurred in less than 30% children. Higher difference is more likely in individuals with higher HbA1c values, longer diabetes duration, and less stable glycemic control. Individual discordance HbA1c-GMI 90 is rather stable, although with varying degrees of difference.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physician-reported pediatric diabetes virtual visit quality and outcome not associated with social determinants of health.","authors":"Laurence Bastien, Ellen B Goldboom, Ewa Sucha, Richard J Webster, Ivan Terekhov, Caroline Zuijdwijk","doi":"10.1016/j.jcjd.2025.08.001","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.08.001","url":null,"abstract":"<p><strong>Objectives: </strong>Social determinants of health (SDH) impact diabetes outcomes. In response to COVID-19, virtual care ensured healthcare access. However, socially disadvantaged groups have less technology access and skills, leading to potential disparities. We assessed the association between SDH and virtual visit success in children living with diabetes.</p><p><strong>Methods: </strong>We conducted a secondary study of prospectively collected data for children attending a virtual diabetes physician visit from December 1, 2020, to March 31, 2021. Simultaneously, a quality improvement study required physicians to rate visit success indicators, including comparability to in-person visit (same/better/worse) and outcome (successfully/unsuccessfully replaced in-person visit). These data and patient characteristics were extracted from the electronic health record. Postal code-based deprivation indices were used to determine SDH. Statistical analysis tested for the association between deprivation quintiles and virtual visit success.</p><p><strong>Results: </strong>Data were obtained for 447 children (age 12.7±3.8 years; 52.3% male; 93.1% type 1 diabetes; glucose management indicator 8.0±1.41%). Physicians reported 17.7% worse visits and 13.3% unsuccessful visits. Overall, 20.7% visits were worse or unsuccessful. The odds of having a worse or unsuccessful visit were not different in those with highest versus lowest degree of material deprivation (odds ratio [OR] 1.12, 95% confidence interval [CI] 0.39, 3.20), social deprivation (OR 0.92, 95%CI 0.32, 2.66), or ethnic concentration (OR 0.71, 95%CI 0.29, 1.72).</p><p><strong>Conclusion: </strong>In our pediatric diabetes population, virtual visit success was not associated with SDH measures, suggesting equitable delivery of virtual care regardless of socioeconomic status. Further studies are required to assess this association in other populations.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}