David M. Maahs
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View article: INHALE-1: A Multi-center Randomized Trial of Inhaled Technosphere Insulin in Children with Type 1 Diabetes
INHALE-1: A Multi-center Randomized Trial of Inhaled Technosphere Insulin in Children with Type 1 Diabetes Open
Objective: To evaluate inhaled technosphere insulin (TI) in children with diabetes.Research Design and Methods: Youth 4 to 17 years old with type 1 (98%) or type 2 (2%) diabetes treated with multiple daily injections of insulin were random…
View article: INHALE-1: A Multi-center Randomized Trial of Inhaled Technosphere Insulin in Children with Type 1 Diabetes
INHALE-1: A Multi-center Randomized Trial of Inhaled Technosphere Insulin in Children with Type 1 Diabetes Open
Objective: To evaluate inhaled technosphere insulin (TI) in children with diabetes.Research Design and Methods: Youth 4 to 17 years old with type 1 (98%) or type 2 (2%) diabetes treated with multiple daily injections of insulin were random…
View article: Insulin dose adjustment policy for certified diabetes care and education specialists: Safe and effective
Insulin dose adjustment policy for certified diabetes care and education specialists: Safe and effective Open
In 4T Study 1, youth with new-onset type 1 diabetes started a continuous glucose monitor (CGM) soon after diagnosis and received remote CGM data review and dose changes by a Certified Diabetes Care and Education Specialist (CDCES) via secu…
View article: Nutrition therapy in the era of automated insulin delivery
Nutrition therapy in the era of automated insulin delivery Open
View article: Pre‐exercise protein intake is associated with reduced time in hypoglycaemia among adolescents with type 1 diabetes
Pre‐exercise protein intake is associated with reduced time in hypoglycaemia among adolescents with type 1 diabetes Open
AIM: Secondary analyses were conducted from a randomized trial of an adaptive behavioural intervention to assess the relationship between protein intake (g and g/kg) consumed within 4 h before moderate-to-vigorous physical activity (MVPA) …
View article: A High Protein Diet Is Associated with Improved Glycemic Control Following Exercise among Adolescents with Type 1 Diabetes
A High Protein Diet Is Associated with Improved Glycemic Control Following Exercise among Adolescents with Type 1 Diabetes Open
Nutritional strategies are needed to aid people with type 1 diabetes (T1D) in managing glycemia following exercise. Secondary analyses were conducted from a randomized trial of an adaptive behavioral intervention to assess the relationship…
View article: Increased Risk of Type 1 Diabetes in Boys Under the Age of 5 Years During COVID‐19 Lockdowns in Finland, Sweden and Stanford, CA, USA—An Observational Multicenter Study
Increased Risk of Type 1 Diabetes in Boys Under the Age of 5 Years During COVID‐19 Lockdowns in Finland, Sweden and Stanford, CA, USA—An Observational Multicenter Study Open
Aims The COVID‐19 pandemic has been associated with an increased incidence of type 1 diabetes. Changes in the type 1 diabetes incidences in countries like Sweden where very mild COVID‐19 pandemic related measures were applied have not been…
View article: Continuous Glucose Monitoring Data Analysis 2.0: Functional Data Pattern Recognition and Artificial Intelligence Applications
Continuous Glucose Monitoring Data Analysis 2.0: Functional Data Pattern Recognition and Artificial Intelligence Applications Open
New methods of continuous glucose monitoring (CGM) data analysis are emerging that are valuable for interpreting CGM patterns and underlying metabolic physiology. These new methods use functional data analysis and artificial intelligence (…
View article: Early Stages of Automated Insulin Delivery
Early Stages of Automated Insulin Delivery Open
The development of automated insulin delivery systems has seen tremendous improvements from individual components to interoperable system combinations of devices and new drugs besides insulin. The components have become progressively small…
View article: Research Gaps, Challenges, and Opportunities in Automated Insulin Delivery Systems
Research Gaps, Challenges, and Opportunities in Automated Insulin Delivery Systems Open
Since the discovery of the life-saving hormone insulin in 1921 by Dr. Frederick Banting in 1921, there have been many critical discoveries and technical breakthroughs that have enabled people living with type 1 diabetes (T1D) to live longe…
View article: Physical Activity Is Associated With Improved Glycemic Outcomes in Newly Diagnosed Youth With Type 1 Diabetes: 4T Exercise Program
Physical Activity Is Associated With Improved Glycemic Outcomes in Newly Diagnosed Youth With Type 1 Diabetes: 4T Exercise Program Open
OBJECTIVE The Teamwork, Targets, Technology, and Tight Range (4T) Exercise Program evaluated physical activity patterns across the first year of type 1 diabetes diagnosis and whether physical activity was associated with changes in glucose…
View article: Research Gaps, Challenges, and Opportunities in Automated Insulin Delivery Systems
Research Gaps, Challenges, and Opportunities in Automated Insulin Delivery Systems Open
Background: Since the discovery of the life-saving hormone insulin in 1921 by Dr Frederick Banting in 1921, there have been many critical discoveries and technical breakthroughs that have enabled people living with type 1 diabetes (T1D) to…
View article: The Use of Continuous Glucose Monitoring to Diagnose Stage 2 Type 1 Diabetes
The Use of Continuous Glucose Monitoring to Diagnose Stage 2 Type 1 Diabetes Open
This consensus report evaluates the potential role of continuous glucose monitoring (CGM) in screening for stage 2 type 1 diabetes (T1D). CGM offers a minimally invasive alternative to venous blood testing for detecting dysglycemia, facili…
View article: A Quantitative Framework for Evaluating the Performance of Algorithm-Directed Whole-Population Remote Patient Monitoring for Type 1 Diabetes Care
A Quantitative Framework for Evaluating the Performance of Algorithm-Directed Whole-Population Remote Patient Monitoring for Type 1 Diabetes Care Open
Introduction Clinics continue to adopt remote patient monitoring for type 1 diabetes (T1D) and care models shaped by algorithmic CGM data analysis. No clinic-facing quantitative framework currently exists to track the impact of such algori…
View article: Peer Mentoring Improves Diabetes Technology Use and Reduces Diabetes Distress Among Underserved Communities: Outcomes of a Pilot Diabetes Support Coach Intervention
Peer Mentoring Improves Diabetes Technology Use and Reduces Diabetes Distress Among Underserved Communities: Outcomes of a Pilot Diabetes Support Coach Intervention Open
Background: There are well‐documented disparities in diabetes care outcomes and technology usage, stemming from differences in healthcare access, distrust in healthcare providers, and other factors. This study evaluated patient‐level outco…
View article: Structured Exercise Education and Physical Activity Improve Glycemic Outcomes in Youth with Newly Diagnosed Type 1 Diabetes: 4T Exercise Program
Structured Exercise Education and Physical Activity Improve Glycemic Outcomes in Youth with Newly Diagnosed Type 1 Diabetes: 4T Exercise Program Open
View article: Building a Diabetes Educator Program for Remote Patient Monitoring Billing
Building a Diabetes Educator Program for Remote Patient Monitoring Billing Open
Objective: Develop workflows and billing processes for a Certified Diabetes Care and Education Specialist (CDCES)-led remote patient monitoring (RPM) program to transition the Teamwork, Targets, Technology, and Tight Control (4T) Study to …
View article: Addressing Disparities Using Continuous Glucose Monitors and Remote Patient Monitoring for Youth With Type 1 Diabetes
Addressing Disparities Using Continuous Glucose Monitors and Remote Patient Monitoring for Youth With Type 1 Diabetes Open
Background: Youth with type 1 diabetes (T1D) and public insurance have lower diabetes technology use. This pilot study assessed the feasibility of a program to support continuous glucose monitor (CGM) use with remote patient monitoring (RP…
View article: ISPAD Clinical Practice Consensus Guidelines 2024: Glycemic Targets
ISPAD Clinical Practice Consensus Guidelines 2024: Glycemic Targets Open
Summary of what is New or Different 1. This chapter recommends a target HbA1c of ≤6.5% (48mmol/mol) for those who have access to advanced diabetes technologies like continuous glucose monitoring (CGM) and automated insulin delivery (AID). …
View article: Project ECHO Diabetes Trial Improves Outcomes for Medically Underserved People
Project ECHO Diabetes Trial Improves Outcomes for Medically Underserved People Open
Objective: The Project ECHO model is used in 180 countries to address chronic disease care through a provider empowerment, tele-education approach. Few studies have rigorously evaluated the impact of the program on patient outcomes using r…
View article: Project ECHO Diabetes Trial Improves Outcomes for Medically Underserved People
Project ECHO Diabetes Trial Improves Outcomes for Medically Underserved People Open
Objective: The Project ECHO model is used in 180 countries to address chronic disease care through a provider empowerment, tele-education approach. Few studies have rigorously evaluated the impact of the program on patient outcomes using r…
View article: Project ECHO Diabetes Trial Improves Outcomes for Medically Underserved People
Project ECHO Diabetes Trial Improves Outcomes for Medically Underserved People Open
OBJECTIVE The Project Extension for Community Healthcare Outcomes (ECHO) model is used in 180 countries to address chronic disease care through a provider empowerment, tele-education approach. Few studies have rigorously evaluated the impa…
View article: The adaptation of a single institution diabetes care platform into a nationally available turnkey solution
The adaptation of a single institution diabetes care platform into a nationally available turnkey solution Open
View article: <b>LGBTQ+ Supportive and Inclusive Care Practices: Survey Data From the T1D Exchange Quality Improvement Collaborative</b>
<b>LGBTQ+ Supportive and Inclusive Care Practices: Survey Data From the T1D Exchange Quality Improvement Collaborative</b> Open
Objective. Living with type 1 diabetes is challenging, but more barriers exist when one also identifies as LGBTQ+ (lesbian, gay, bisexual, transgender, queer, or other gender-expansive identities). Acknowledging the importance of id…
View article: <b>LGBTQ+ Supportive and Inclusive Care Practices: Survey Data From the T1D Exchange Quality Improvement Collaborative</b>
<b>LGBTQ+ Supportive and Inclusive Care Practices: Survey Data From the T1D Exchange Quality Improvement Collaborative</b> Open
Objective. Living with type 1 diabetes is challenging, but more barriers exist when one also identifies as LGBTQ+ (lesbian, gay, bisexual, transgender, queer, or other gender-expansive identities). Acknowledging the importance of id…
View article: 8076 Advancing Career Development of Physician-Scientists Engaged in Diabetes Research: Insights into the National K12 DiabDocs Program
8076 Advancing Career Development of Physician-Scientists Engaged in Diabetes Research: Insights into the National K12 DiabDocs Program Open
Disclosure: K.D. Dasani: None. F.K. Bishop: None. S.H. Golden: None. L.M. Laffel: None. R.G. Mirmira: None. A.K. Steck: None. S.M. Willi: None. D.M. Maahs: None. L.A. DiMeglio: None. Background: In July 2022 the NIH established a multi-cen…
View article: Erratum. Consensus Guidance for Monitoring Individuals With Islet Autoantibody–Positive Pre-Stage 3 Type 1 Diabetes. Diabetes Care 2024;47:1276–1298
Erratum. Consensus Guidance for Monitoring Individuals With Islet Autoantibody–Positive Pre-Stage 3 Type 1 Diabetes. Diabetes Care 2024;47:1276–1298 Open
View article: Not all healthcare inequities in diabetes are equal: a comparison of two medically underserved cohorts
Not all healthcare inequities in diabetes are equal: a comparison of two medically underserved cohorts Open
Introduction Diabetes disparities exist based on socioeconomic status, race, and ethnicity. The aim of this study is to compare two cohorts with diabetes from California and Florida to better elucidate how health outcomes are stratified wi…
View article: Correction to: Consensus guidance for monitoring individuals with islet autoantibody‑positive pre‑stage 3 type 1 diabetes
Correction to: Consensus guidance for monitoring individuals with islet autoantibody‑positive pre‑stage 3 type 1 diabetes Open
View article: Comparing Two Waist-to-Height Ratio Measurements with Cardiometabolic Risk Factors among Youth with Diabetes.
Comparing Two Waist-to-Height Ratio Measurements with Cardiometabolic Risk Factors among Youth with Diabetes. Open
BACKGROUND: Waist circumference (WC) is commonly measured by either the World Health Organization (WHO) or National Health and Nutrition Examination Survey (NHANES) protocol. OBJECTIVE: Compare the associations of WHO vs. NHANES WC-to-heig…