As the world marks a century since insulin’s discovery, it is important to highlight key trends in a group of patients who are dependent on it for life. Patients with type 1 diabetes require exogenous insulin to avoid complications, including diabetes ketoacidosis (DKA). This condition often first manifests in childhood. The use of technology, including continuous glucose monitors and insulin pumps, is recommended in these patients (1). There have been increasing concerns about the affordability of insulin even in developed countries. This has been associated with recurrent episodes of DKA (2). This study assessed whether there was a variation in readmissions in the pediatric population with DKA by household income in the U.S.
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