Living with Sensor-Augmented Pump Therapy in Type 1 Diabetes: Adolescents' and Parents' Search for Harmony

Abstract

Healthcare providers can facilitate adolescent and parental decision-making about the optimal timing for SAPT introduction. Success with SAPT requires exploration of adolescent and parental expectations for SAPT as well as the degree to which parents have previously fostered their adolescent's involvement in and responsibility for diabetes management.

Best friend or spy: a qualitative meta‐synthesis on the impact of continuous glucose monitoring on life with Type 1 diabetes

“…When the initial search was repeated with ‘qualitative’ as the refining search term, 13 articles were found, reduced to 10 research based articles, and 7 selected for further review. Search 2 and 3 combined yielded a total of nine articles included in this meta‐synthesis .…”

“…CGM users are impacted by the size of the device . The CGM transmitter is particularly large and disruptive, more than an insulin pump infusion set which is similarly affixed to the skin .…”

Biopsychosocial Factors Associated With Satisfaction and Sustained Use of Artificial Pancreas Technology and Its Components: a Call to the Technology Field

“…Both CGMs and insulin pumps are visible on the body and both adults and adolescents describe feeling self-conscious about wearing them [19, 69, 70]. Some CGM users feel as if they look robotic or like a “cyborg” [70], whereas some insulin pump users feel as if they are “shackled” to them [71].…”

“…Distress related to not knowing if continuation of CGM use will be possible when financial difficulties arise also occurs [75]. Adolescents have reported being concerned about losing CGMs because it is expensive [69, 77]. Overall, the ongoing expenses associated with CGM can lead to distress about finances as well as uncertainty about whether individuals can sustainably afford CGM for ongoing T1D management.…”

“…Thirty-two percent of adult users in the USA who discontinued CGMs reported alarms as a primary reason for discontinuation [19]. Individuals with T1D also report concerns related to CGMs alarming at inconvenient times or causing unwanted attention to T1D at school, work, or personal settings and disturbing sleep [69, 77, 80]. While the frequency of alerts may be a nuisance in itself, it is also likely that alerts due to inaccurate readings cause additional frustration [19].…”