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Racial-ethnic disparities in technology use have been described in children with type 1 diabetes (T1D). It is not known if these emerge early in disease management. This single-center retrospective study examined disparities in continuous glucose monitor (CGM) initiation and durability in the first-year following diagnosis of T1D in children. Of 345 eligible children, 46% started CGM within their first-year. In non-Hispanic white (NHW) children, 51% started using CGM vs 28% of non-Hispanic black (NH children (p=0.006). After stratify