31-OR: ROCKET Type 1 Diabetes—Launching Diabetes Self-Management Habits in Youth with New-Onset Type 1 Diabetes

Introduction: Performing the 6 T1D self-management habits (SMH) (Figure 1) has been associated with lower A1c and increased time in range (TIR) (Lee et al., JAMA Netw Open, 2021). We developed a remote patient monitoring program (RPM), called ROCKET T1D (Remote Outreach 80% of youth with newly diagnosed T1D. Methods: At program launch, all youth with new onset T1D entered the ROCKET T1D RPM program within 2 weeks of diagnosis. After baseline assessment of the SMH, a CDCES conducted weekly virtual visits focused on each of the habits. After 3-month program completion, CDCES reassessed the SMH. CGM metrics were obtained in the first 2 weeks and again at program completion. Results: Among 71 patients who completed the program, the mean cumulative habit score increased from 3.1 to 5.2, and 81% increased ≥ 2 habits from baseline. Mean TIR increased (56% to 64%, p=0.02) and mean GMI decreased (7.6% to 7.3%, p=0.07). Conclusion: Remote support with tailored education following T1D diagnosis resulted in improved T1D management habits. CGM metrics were promising, but this could be due to other factors such as partial remission. Future work should evaluate whether early intensive education and technology initiation provides longterm glycemic benefit. Disclosure G. Alarcon: None. R.Y. Sonabend: None. D.D. Schwartz: None. S. Lyons: None. D. DeSalvo: Advisory Panel; Insulet Corporation. Consultant; Dexcom, Inc. Funding The Leona M. and Harry B. Helmsley Charitable Trust (2206-05307)