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Beyond glycemic metrics: Centering context and equity in pediatric diabetes care

Year: 2026

Type: article

Abstract: Health-related quality of life (HRQoL) has emerged as a central outcome in pediatric type 1 diabetes (T1D), reflecting not only metabolic control but also the lived experience of children, adolescents, and their families.As diabetes care increasingly incorporates continuous glucose monitoring and automated insulin delivery (AID) systems, it is often assumed that improved glycemic metrics will naturally translate into better quality of life.However, accumulating evidence suggests that this relationship is neither linear nor universal and is strongly shaped by age, gender, family dynamics, cultural context, and psychosocial burden. GENDER, AGE, AND PERSISTENT PSYCHOSOCIAL VULNERABILITYe gender differences observed align closely with European and global evidence documenting higher diabetes-related distress among females.Lithuanian registry data show greater emotional burden and lower confidence in self-care among adolescent and emerging adult females, independent of insulin delivery method.[2] Norwegian national data, in the age group 10-17 years, https://ispae-jped.com/

Source: Journal of Pediatric Endocrinology and Diabetes

DOI: 10.25259/jped_20_2026

Authors: Ingrida Stankute, Rasa Verkauskiene, Valerie M. Schwitzgebel

Institutions: Lithuanian University of Health Sciences, University Hospital of Geneva

Language: English

Topic: Diabetes Management and Research

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: hybrid

OpenAlex ID: W7140803615