"Empowering Us": A community-led survey of real-world perspectives of adults with type 1 diabetes using insulin pumps and continuous glucose monitoring to manage their glucose levels.
Meaghan Read; Kim N Henshaw; Dessi P Zaharieva; Tim C Brown; Andrea E Varga; Christine Bray; Michelle Cox; Pär-Johan Goody-Rohdin; Kim Hider; Paul Jelleyman; Alicia Jenkins; Carolyn Jones; Peggy Kerr; Rob Leach; Kim Martin; Natalie Oreskovic; Grant O'Sullivan; Jasmin Rucioch; Catriona Sims; Carmel Smart; Jane Speight; Jamie Stanistreet; Michael Tippett; Ioaga Tivalu; Tania Withers; David N O'Neal
Abstract
To conduct an Australian community-led survey of adults with type 1 diabetes (T1D), identifying priorities for, and barriers to, optimal use of advanced glucose management technologies.A 30-question online survey of current or past users of insulin pump therapy (IPT), real-time continuous glucose monitoring (RT-CGM), or intermittently scanned CGM (isCGM) explored perceptions regarding device design, access, education, outcomes, and support.Between November 2021 and January 2022, surveys were completed by 3,380 participants (age [mean ± SD] 45 ± 16 years; 62% female; 20 ± 14 years diabetes), with 55%, 82%, and 55% reporting experience with IPT, RT-CGM, and isCGM, respectively. Overall, most considered diabetes technology '(extremely) important' for maintaining target glucose levels (98%) and reducing hypoglycaemia severity and frequency (93%). For most, technology contributed positively to emotional well-being (IPT 89%; RT-CGM 91%; isCGM 87%), which was associated with device effectiveness in maintaining glucose in range, comfort, and convenience. Barriers included affordability (IPT 68%; RT-CGM 81%; isCGM 69%) and insufficient information for informed choices about device suitability (IPT 39%; RT-CGM 41%; isCGM 36%).Technology is perceived by adults with T1D as important for managing glycaemia and emotional well-being. Modifiable barriers to use include affordability, and information regarding device suitability.
Journal | DIABETES RESEARCH AND CLINICAL PRACTICE |
ISSN | 1872-8227 |
Published | 01 Aug 2023 |
Volume | 202 |
Issue | |
Pages | 110830 110830 |
DOI | 10.1016/j.diabres.2023.110830 |
Type | Journal Article |
Sponsorship |