ABSTRACT
Background/Objective: Studies have shown that Hispanics have low use of insulin pumps and continuous glucose monitors (CGM) when compared to Whites. (Agarwal, S, 2021, Apr). Racial disparities in technology use and diabetes outcomes persist regardless of insurance status. (Lipman, TH, 2021, Mar). Our aim was to obtain a better understanding of barriers that keep people from using advanced technology and prevent health disparities. Method(s): We completed semi-structured interviews and two focus groups with a sample group of Hispanic parents of type 1 diabetes (T1D) patients. We focused our interview on four main topics: sensor usage, pump vs. smart pen vs. MDI, training via video conferencing versus in-person, and suggestions to improve care. We compared the results to study what we did with Black parents. Result(s): We gathered data from 9 Hispanic mothers of T1D patients. The interview format was chosen by parents-22% individual interview, 11% email, and 66% focus group. All parents preferred interviews in Spanish. 100% reported using sensors regularly, 33% insulin pump, 55% smart pen, and one patient used neither. Key barriers to technology use were fear of doing something wrong at the beginning, difficulty with initial telemedicine training during COVID, and insurance problems, including language barriers and refills. Conclusion(s): Overall, when compared to our Black focus group, we received similar results. They are satisfied with the technology and feel it increases their understanding of diabetes. Insurance plays a limiting role. More studies are needed to increase understanding of our population and increase device use..