November 

2023

Congratulations, outcomes are improving for people with type 1 diabetes!

2023 has been a very productive year for our T1DX-QI network, with 23 papers published in major journals, including Nature, Lancet, and Diabetes Care!

We are very excited to share our recent milestone paper demonstrating significant improvement (mean HbA1c reduction) in glycemic outcomes for people with type 1 diabetes now published in Diabetes Technology and Therapeutics (DTT). Use this link to view the paper. 

Ebekozien, O, Mungmode, A, Sanchez, J, Rompicherla, S, Demeterco-Berggren, C, Weinstock, R, Jacobsen, L, Davis, G, McKee, A, Akturk, H.K, Maahs, D, Kamboj, M. Seven Years Trends (2016-2022) in Glycemic Outcomes and Technology Use for Over 48,000 People with Type 1 Diabetes from the T1D Exchange Quality Improvement Collaborative. DTT 2023. 

This paper is significant because it changes the narrative of the 2019 T1D Exchange Paper by Nicole Foster et al, also published in DTT, that showed worsening HbA1c trends 2010-2018. 

There have been no other major multi-center US based paper showing improvement in HbA1c outcome in the US until our recent paper. Our work is making a major difference and improving outcomes. 

We look forward to celebrating our collective success at New York later this month.

T1DX-QI Learning Session

We are excited that the Learning Session is quickly approaching! We look forward to seeing everyone in person and virtually.

The Learning Session will take place November 14-15 in NYC at the Westin Grand Central.

There is still room for virtual attendance. Use this link to register virtually and share with your colleagues. 

For Learning Session questions, please use this link to view the agenda, any additional questions can be sent to qi@t1dexchange.org.

T1DX-QI Learning Session 5K Fun Run

The 2nd Annual T1DX-QI Collaborative will take place on November at 5pm EST. We will meet in Central Park at the Lombard Lamp at 4:45 pm and run/walk together. Please use this link to register for the 5K. Use this link to view the 5K route!  

T1DX-QI Recent Publications

Title: Increasing Social Determinants of Health Screening Rates Among Six Endocrinology Centers Across the United States: Results From the T1D Exchange Quality Improvement Collaborative

Authors: Ori Odugbesan, Trevon Wright, Nana-Hawa Yayah Jones, Selorm Dei-Tutu, Mary Pat Gallagher, Emly DeWit, Roberto Izquierdo, Marisa Desimone, Nicole Rioles, Osagie Ebekozien

View this manuscript using this link!

Title: Current Practices in Operationalizing and Addressing Racial Equity in the Provision of Type 1 Diabetes Care: Insights from the T1DX-QI Health Equity Advancement Lab

Authors: Ananta Addala, Ann Mungmode, Emma Ospelt, Janine Sanchez, Faisal Malik, Carla Demeterco-Berggren, Ashley Butler, Colette Edwards, Makalia Manukyan, Margarita Ochoa-Maya, Margaret Zupa

Click here to view this manuscript!

Title: Health Equity in Endocrinology

Authors: Kathryn Backholer, Osagie Ebekozien, Karen Hofman, J.Jamie Miranda, Samuel Seidu 

Use this link to view this manuscript!

Title: Understanding Providers’ Readiness and Attitudes Toward Autoantibody Screening: A Mixed-Methods Study

Authors: Emma Ospelt, Holly Hardison, Nicole Rioles, Nudrat Noor, Ruth S. Weinstock, Kristina Cossen, Priyanka Mathias, Allison Smego, Nestoras Mathioudakis, Osagie Ebekozien

View this manuscript using this link!

Title: Increasing Continuous Glucose Monitoring Use for Non-Hispanic Black and Hispanic People With Type 1 Diabetes: Results From the T1D Exchange Quality Improvement Collaborative Equity Study.

Authors: Ori Odugbesan, Ann Mungmode, Nicole Rioles, Don Buckingham, Grace Nelson, Shivani Agarwal, Amy Grant, Trevon Wright, Emilie Hess, Osagie Ebekozien 

Use this link to view this manuscript!

Title: Insulin Pump Utilization in 2017–2021 for More Than 22,000 Children and Adults With Type 1 Diabetes: A Multicenter Observational Study

Authors: Kajal Gandhi, Osagie Ebekozien, Nudrat Noor, Ryan J. McDonough, Susan Hsieh, Brian Miyazaki, Selorm Dei-Tutu, Lauren Golden, Marisa Desimone, Holly Hardison, Saketh Rompicherla, Halis K. Akturk, Manmohan Kamboj

View this manuscript using this link!

QI Portal Plot

We are thrilled to see so many QI Projects on the  QI Portal! If you haven't uploaded your project yet, please begin uploading before the November Learning Session!

New! Annotate QI Project charts with projects updates on the Improve tab!

With this feature, any project collaborator can add an annotation to your QI charts (data-mapped centers only). 

New metric! Explore the Report or Compare tab for the new HCLS metric!

We are continuously adding new metrics to the QI Portal! Please explore this new metric!

Q&A Corner

There have been several newly asked questions on the internal member website. Please use this link to respond and see all questions.

Events & Reminders 

Upcoming Opportunities 

Here are a few opportunities shared with the Collaborative. 

• The 22^nd Annual Pediatric Endocrinology and Diabetes Symposium takes place on Monday November 13^th from 8-1pm EST Mount Sinai Kravis Children’s Hospital Dr. Osagie Ebekozien will be presenting on “State of Type 1 Diabetes in the US: Update from the T1D Exchange” and other members from the T1DX-QI coordinating center will be in attendance. Members can use this code (T1DX23) to receive 50% off registration. Use this link to view the agenda and register.
• Albert Einstein College of Medicine/Montefiore Medical Center in Bronx, NY is expanding its clinical program in diabetes, obesity and metabolism and seeks to add highly qualified endocrinologists for an academic position at the Assistant or Associate Professor level in the clinician educator track. Responsibilities include clinical care in the endocrinology/diabetes faculty practice, with a special focus in the Supporting Emerging Adults with Diabetes (SEAD) program for young adults with type 1 diabetes. Use this link to read more. 
• Blue Circle Health is searching for an experienced MD or DO who will provide virtual patient care, specific to people with type 1 diabetes. Blue Circle Health has a team based, whole person approach to care where we bring together multiple specialties to create a personalized care plan for our patients. The Diabetologist will conduct telehealth visits and will work with the clinical care team to provide the best care possible to the people we serve. Use this link to view more details. 

Internal Member Website Resources

Next Collaborative Call

November Learning Session: November 14th and 15th