What question did this study set out to answer?

The study aims to evaluate how acquiring Libre continuous glucose monitors affects the rate of diabetic ketoacidosis in children with type 2 diabetes.

June 7, 2026Diabetes

2938-LB: Rate of Diabetes Ketoacidosis among Pediatric Population Living with Type 2 Diabetes in the United States: A Real-world Study Using Administrative Claims Data

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The study aims to evaluate how acquiring Libre continuous glucose monitors affects the rate of diabetic ketoacidosis in children with type 2 diabetes.
Retrospective analysis of claims data from 2017 to 2024
Included children <18 years with type 2 diabetes who initiated Libre
Calculated rate ratios using a zero-inflated negative binomial model adjusting for various factors.
Among 1,575 children, DKA rates decreased from 19.68 to 4.38 events per 100 person-years post-Libre.
In children using multiple daily injections, rates decreased from 27.91 to 5.72 events per 100 person-years (RR=0.166; p<0.005).
Initiation of continuous glucose monitoring alone may not fully prevent DKA, especially in those on multiple daily injections.

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Implication

Retrospective analysis shows DKA rates decrease in children with T2D after continuous glucose monitoring acquisition, indicating a need for better management strategies.

Cite This Study

Ekhlaspour et al. (2026) studied this question.

synapsesocial.com/papers/6a250ae37def13d035e1ae2a https://doi.org/10.2337/db26-2938-lb

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Implication

Retrospective analysis shows DKA rates decrease in children with T2D after continuous glucose monitoring acquisition, indicating a need for better management strategies.

2938-LB: Rate of Diabetes Ketoacidosis among Pediatric Population Living with Type 2 Diabetes in the United States: A Real-world Study Using Administrative Claims Data

Key Points

Discussion

Implication

Cite This Study

2938-LB: Rate of Diabetes Ketoacidosis among Pediatric Population Living with Type 2 Diabetes in the United States: A Real-world Study Using Administrative Claims Data

Key Points

Discussion

Implication

Cite This Study

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