Influences on Technology Use and Efficacy in Type 1 Diabetes
Open Access
- 27 March 2016
- journal article
- review article
- Published by SAGE Publications in Journal of Diabetes Science and Technology
- Vol. 10 (3), 647-655
- https://doi.org/10.1177/1932296816639315
Abstract
The majority of people with type 1 diabetes have suboptimal glycemic control, increasing their complication risk. Technology to support diabetes self-care has advanced significantly and includes self-monitoring of blood glucose (SMBG), insulin pump therapy (IPT), continuous glucose monitoring (CGM), and sensor-augmented pump therapy (SAPT), which are stepping stones toward the “artificial pancreas” using closed-loop technology. Use of these technologies improves clinical outcomes for patients with the appropriate skills and motivation. This review addresses the psychosocial factors that influence both technology provision and clinical outcome and also how technology impacts on psychological outcomes. Optimal use of the various diabetes self-management technologies is influenced by previous self-care behaviors, demographic and psychological factors. Provision of IPT is also influenced by the same factors. Despite technology increasing the complexity of treatment, the lack of evidence for adverse psychological outcomes is reassuring. Treatment satisfaction is high, and discontinuation rates are low. However, technology will widen the health inequality gap if its use is limited to motivated patients who demonstrate good self-care behaviors. Pivotal to the success of the various technologies is provision of appropriate education at initiation of the technology, regular ongoing contact for treatment adjustments and trouble-shooting device issues plus access to psychological support when required. Additional support strategies may be required to help patients struggling with their diabetes to benefit from the available technology, recognizing that they may have most to gain.Keywords
This publication has 110 references indexed in Scilit:
- Glucose Meters with Built-In Automated Bolus Calculator: Gadget or Real Value for Insulin-Treated Diabetic Patients?Diabetes Therapy, 2012
- The use and efficacy of continuous glucose monitoring in type 1 diabetes treated with insulin pump therapy: a randomised controlled trialDiabetologia, 2012
- Psychosocial Correlates of Continuous Glucose Monitoring Use in Youth and Adults with Type 1 Diabetes and Parents of YouthDiabetes Technology & Therapeutics, 2012
- Perspectives of patients with type 1 or insulin-treated type 2 diabetes on self-monitoring of blood glucose: a qualitative studyBMC Public Health, 2012
- Psychosocial family factors and glycemic control among children aged 1-15 years with type 1 diabetes: a population-based surveyBMC Pediatrics, 2011
- A focus on blood glucose monitoring: relation to glycemic control and determinants of frequencyPediatric Diabetes, 2011
- Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysisDiabetic Medicine, 2010
- Blood Glucose Monitoring and Glycemic Control in Adolescence: Contribution of Diabetes-Specific Responsibility and Family ConflictJournal of Adolescent Health, 2010
- Fear of hypoglycaemia in parents of young children with type 1 diabetes: a systematic reviewBMC Pediatrics, 2010
- Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on EfficacyJournal of Medical Internet Research, 2009