Type 1 diabetes outcomes of children born in Israel of Eritrean asylum seekers
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ORIGINAL ARTICLE
Type 1 diabetes outcomes of children born in Israel of Eritrean asylum seekers Erella Elkon‑Tamir1 · Yael Lebenthal1 · Irina Laurian1,2 · Anna Dorfman1,2 · Efrat Chorna1,3 · Hagar Interator1,4 · Galit Israeli1 · Gil Rosen1 · Ori Eyal1 · Asaf Oren1 · Avivit Brener1 Received: 18 June 2020 / Accepted: 12 August 2020 © Springer-Verlag Italia S.r.l., part of Springer Nature 2020
Abstract Aims Disparities in health outcomes in pediatric type 1 diabetes (T1D) based on race/ethnicity and socioeconomic position (SEP) have been reported. We compared T1D characteristics between Eritrean status-less children living in Israel and native-born Israeli children. Methods This observational study compared 7 Eritrean and 28 Israeli children ( 6 months from diagnosis, mean number of samples 10.6 ± 5.2) was good, with mean, best, and peak HbA1c levels of 7.4 ± 0.8% (57.4 mmol/mol), 6.7 ± 0.7% (49.7 mmol/mol), and 8.1 ± 1.1% (65 mmol/mol), respectively. Thirty-two children (91.4%) used continuous glucose monitoring devices (CGMs), and the mean time from diagnosis to CGM initiation was 10.8 ± 14.1 months. CGM metrics: time CGM active: 95.4 ± 3.8%, mean glucose level: 170.0 ± 27.0 mg/dl (9.4 mmol/L), time-in-range: 56.4 ± 14.7%, time-below-range: 5.5 ± 5.7%, and timeabove-range: 38.6 ± 16.1%. Diabetes-related parameters at diagnosis and during follow-up were similar between groups. Eritrean children had significantly lower SEPs (P
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