Insulin pump failures in Italian children with Type 1 diabetes: retrospective 1‐year cohort study

Rabbone, Ivana; Minuto, Nicola; Bonfanti, Riccardo; Marigliano, Marco; Cerutti, Fránco; Cherubini, Valentino; d’Annunzio, Giuseppe; Frongia, AP; Iafusco, Dario; Ignaccolo, G.; Lombardo, Fortunato; Schiaffini, Riccardo; Toni, Sonia; Tumini, Stefano; Zucchini, Stefano; Pistorio, Angela; Scaramuzza, A.

doi:10.1111/dme.13294

Cited by 17 publications

(17 citation statements)

References 20 publications

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“…In this large cohort 1‐year prospective study of Italian children using insulin pumps, we confirmed the same rate of pump replacement found in our previous retrospective study; moreover, we found an average rate of 4.5 failures per person‐year. Our incidence rate is slightly lower than ones recently reported by Guenego et al and Wheeler et al, but slightly higher than the one reported by Ross et al…”

Section: Discussioncontrasting

confidence: 66%

“…Twenty‐five (out of 43 former participants) pediatric diabetes centres belonging to the Diabetes Study Group of the Italian Society of Pediatric Endocrinology and Diabetology agreed to participate in the study, enrolling the same patients from the retrospective study . All children and adolescents with type 1 diabetes using insulin pump therapy were evaluated during usual care at quarterly intervals during 2014, up to three visits each.…”

Section: Methodsmentioning

confidence: 99%

“…We recently described a low rate of insulin pump breakdown/replacement (0.165 insulin pump replacements per patient‐year) aligned with previously reported rates, and higher rates in more sophisticated pump models …”

Section: Introductionmentioning

confidence: 99%

“…After collecting retrospective data on a large cohort of Italian children and adolescents with type 1 diabetes to investigate pump replacements because of malfunction/breakdown, a prospective observational 1‐year study was conducted in the same cohort. The aim of the study was to evaluate the incidence of insulin pump breakdowns and infusion set failures in pediatric patients with type 1 diabetes using insulin pumps.…”

Section: Introductionmentioning

confidence: 99%

“…1 We recently described a low rate of insulin pump breakdown/ replacement (0.165 insulin pump replacements per patient-year) aligned with previously reported rates, and higher rates in more sophisticated pump models. 2 Infusion set failure can occur when there is local inflammation at the infusion site, when the catheter is occluded, kinked, or simply dislodged from the subcutaneous space. 3,4 In all of these cases, metabolic decompensation and development of ketoacidosis can occur due to insufficient insulin delivery.…”

mentioning

confidence: 99%

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Insulin pump breakdown and infusion set failure in Italian children with type 1 diabetes: A 1‐year prospective observational study with suggestions to minimize clinical impact

Rabbone

Minuto

Toni

et al. 2018

Diabetes Obesity Metabolism

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Section: Discussioncontrasting

confidence: 66%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Insulin pump breakdown and infusion set failure in Italian children with type 1 diabetes: A 1‐year prospective observational study with suggestions to minimize clinical impact

Rabbone

Minuto

Toni

et al. 2018

Diabetes Obesity Metabolism

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New Technologies for Insulin Administration

Forde,

Choudhary

2024

Textbook of Diabetes

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Future acceptance of automated insulin delivery systems in youths with type 1 diabetes: validation of the Italian artificial pancreas-acceptance measure

Franceschi,

Pertile,

Marigliano

et al. 2024

Acta Diabetol

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Aim The purpose of this study was to develop a questionnaire to examine the future acceptance of Automatic insulin delivery systems (AIDs), their perceived usefulness, ease of use, and trust in the device in subjects with type 1 diabetes (T1D). Methods A questionnaire in Italian, based on the Technology Acceptance Model, was developed to examine intention to use AIDs, considered as a measure of future acceptance, and its determinants to use the system. A total of 43 questions for children and 46 for parents were included, and a 5-point Likert scale was used. Results 239 subjects with T1D using multiple daily injections (MDI) or sensor-augmented pump (SAP) and their parents completed the questionnaire. The completion rate was excellent, with almost 100% of items answered. The overall Cronbach’s coefficient for children and adolescents was 0.92 and 0.93 for parents, indicating excellent internal consistency in both groups. Parent-youth agreement was 0.699 (95% confidence interval: 0.689–0.709), indicating a good agreement between the two evaluations. Factor analysis identified measurement factors for the “artificial pancreas (AP)-acceptance labeled benefits and hassles of AIDs, and the internal consistency of the total scale was alpha = 0.94 for subjects with T1D and 0.95 for parents. The level of AP acceptance was more than neutral: 3.91 ± 0.47 and 3.99 ± 0.43 (p = 0.07) for youths and parents, respectively (possible score range 1 to 5, neutral score is 3.0). Parents reported higher scores in the benefit items than children-adolescents (p = 0.04). Conclusions We developed a new questionnaire based on the items available in the literature, and we demonstrated that the “AP-acceptance” reveals a meaningful factor structure, good internal reliability, and agreement between parent–young people evaluations. This measure could be a valuable resource for clinicians and researchers to assess AP acceptance in pediatric patients with T1D and their parents. This patient profiling approach could help to enroll candidates for AIDs with proper expectations and who most likely will benefit from the system.

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Insulin pump failures in Italian children with Type 1 diabetes: retrospective 1‐year cohort study

Abstract: In a large cohort of Italian children and adolescents with Type 1 diabetes, insulin pump failure/malfunction and consequent replacement are aligned with rates previously reported and higher in more sophisticated pump models.

Cited by 17 publications

References 20 publications

Insulin pump breakdown and infusion set failure in Italian children with type 1 diabetes: A 1‐year prospective observational study with suggestions to minimize clinical impact

Insulin pump breakdown and infusion set failure in Italian children with type 1 diabetes: A 1‐year prospective observational study with suggestions to minimize clinical impact

New Technologies for Insulin Administration

Future acceptance of automated insulin delivery systems in youths with type 1 diabetes: validation of the Italian artificial pancreas-acceptance measure

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