Diabetes Technology

Abstract

Patients managing type 1 diabetes have access to new technologies to assist in management. This manuscript has two aims: 1) to briefly review the literature on diabetes technology use and how this relates to psychological factors and 2) to present an example of human factors research using our data to examine psychological factors associated with technology use. Device/technology uptake and use has increased over the years and at present day is a common clinical practice. There are mixed results in terms of health and psychosocial outcomes, with specific subgroups doing better than others with technology. Our data demonstrated that patients have moderately elevated diabetes distress across differing types of technology used, from low-tech to high-tech options, possibly meaning that technology does not add or take away distress. In addition, users on multiple daily injections compared to all other technology groups have less positive attitudes about technology. Finally, we discuss implications for clinical practice and future research.

Human Factors and Data Logging Processes With the Use of Advanced Technology for Adults With Type 1 Diabetes: Systematic Integrative Review (Preprint)

“…The 18 studies included in this review consist of 5 qualitative studies [40][41][42][43][44], 5 experimental studies [31][32][33][34][35], 3 observational studies [28][29][30], 4 cross-sectional studies [36][37][38][39] and 1 mixed methods [45]. Five of the studies were smaller samples drawn from parent clinical trials [29,32,38,40,41].…”

“…The data suggests that those from higher socioeconomic groups are more likely to have access to and engage with technology in their self-management behaviors [38]. Two studies [29,45] purposefully selected participants with prior adherent behaviors, however one study recruited participants who were less engaged with technology and adherence [32].…”

“…Naranjo et al [38] undertook a comparative analysis of the level of diabetes distress that is associated with diabetes devices and technology between users of traditional technology (BG meters and MDI) and advanced technology (Pump therapy and CGM). The results showed significant differences between attitudes to technology with CGM users being more positive than non-users (24.87 vs. 23.87, P =.0009).…”

Psychosocial aspects of the usage of modern technologies in diabetes mellitus

“…отмечается большое количество социодемографических факторов, отражающихся на использовании не только помпы, но и других технологий в лечении СД: экономическое и семейное положение, расовая принадлежность и т.д. [28]. Однако для нашего обзора большее значение имеют индивидуально-личностные характеристики пациентов, которым также уделяется внимание в зарубежной литературе.…”

Prevalence of Diabetic Ketoacidosis and Its Etiological Factors in the Podillya Region of Ukraine

“…Основною причиною діабетичного кетоацидозу є абсолютна та відносна інсулінова недостатність. Дефіцит інсуліну прогресивно наростає при відсутно-сті замісної терапії при несвоєчасній діагностиці вперше виявленого цукрового діабету [33,31], особливо у дитячому віці [34,35]. Добре відома клініка цукрового діабету все ж таки не завжди і в теперішній час знайома широкому загалу населення, а перші прояви кетоацидозу часто пов'язують з харчовим отруєнням, втомою і не звертаються вчасно за медичною допомогою.…”