The Diabetes Technology Society Green Declaration

Nguyen, Kevin Tri; Xu, Nicole Y; Zhang, Jennifer Y; Heinemann, Lutz; Krisiunas, Edward; Stumpe, Tobias; Seid, Donna; Bonilla, Rick; Bouret, Laurence; Burkot, Weronika; DuBord, Ashley Y; Gold, Kathleen; Pfützner, Andreas; Shang, Trisha; Klonoff, David C.

doi:10.1177/19322968211051721

Cited by 4 publications

(7 citation statements)

References 2 publications

(1 reference statement)

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“…The Diabetes Technology Society Green Declaration presents a group of tasks for said stakeholders, among which we note the need for: standardised methods for medical waste and sharps management established by government entities, to provide incentives for manufacturers to partake in the initiatives and to promote research on how these materials are disposed of to define the current barriers that prevent proper waste disposal. 36 Aligned with this last task, we bring new findings on this matter for the Portuguese population that increase the need for reflection among staff in the National Health System. Primary care services can be considered the ideal study setting for these patients as the majority is subject to regular follow-ups and management by their primary care physician and nursing team, and most information on their condition is provided in this setting.…”

Section: Discussionmentioning

confidence: 97%

“…Each one of these must take part in identifying and overcoming barriers that could not be overcome individually. The Diabetes Technology Society Green Declaration presents a group of tasks for said stakeholders, among which we note the need for: standardised methods for medical waste and sharps management established by government entities, to provide incentives for manufacturers to partake in the initiatives and to promote research on how these materials are disposed of to define the current barriers that prevent proper waste disposal 36…”

Section: Discussionmentioning

confidence: 99%

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Medical sharps in Portugal: a cross-sectional survey of disposal practices among the diabetic population

Corte-Real¹,

Duarte²,

Teixeira³

et al. 2022

BMJ Open

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ObjectiveWe aim to determine the disposal site for biohazardous materials resulting from diabetes surveillance and therapy.DesignCross-sectional study.SettingFive Portuguese primary care facilities.ParticipantsWe randomly sampled diabetic patients representative of five primary care facilities. Inclusion criteria consisted in patients≥18 years old with an active diagnosis of diabetes mellitus (DM). Patients unable to provide written informed consent were excluded.Outcome measureSociodemographic variables, diabetes duration, type of treatment, medical sharps disposal practices and whether adequate disposal information were provided.ResultsA total of 1436 diabetics were included. Overall, 53.8% of diabetics conducted regular capillary glicemia measurements, although 45.3% of them had no medical indication. Statistically significant predictors of adequate disposal were not having an active professional status (p=0.011) and having a DM duration between 5 and 10 years (p=0.014). Only being professionally inactive remained an independent predictor after multivariate logistic regression. Less than a fifth of patients on injectable therapy report having been advised by healthcare staff regarding sharps disposal. Over a fifth of the latter report having received wrong advice. The majority of diabetics dispose of biohazardous materials in unsorted household waste (68.1% of needles/devices with needles and 71.6% of lancets). Other incorrect disposal sites identified were recycling bins, toilet and home accumulation. Only 19.1% of the needles/devices with needles and 13.1% of the lancets were disposed of at healthcare facilities.ConclusionsMost diabetics have unsafe disposal practices for their biohazardous materials, mostly in unsorted household waste. We identified that being unemployed independently predicts adequate disposal of medical sharps and found evidence of low patient literacy on the topic, as well as poor patient education. Therefore, educating and raising awareness among healthcare professionals is crucial to address this public health issue.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Medical sharps in Portugal: a cross-sectional survey of disposal practices among the diabetic population

Corte-Real¹,

Duarte²,

Teixeira³

et al. 2022

BMJ Open

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“…The GDS determined that there is a need to form coalitions and now is the time to stop environmentally damaging processes caused by the production and disposal of diabetes devices, and the resulting "Green Declaration" put forward a set of twelve programmatic goals to which all stakeholders can aspire. 32 The question remains how to move forward. The European Strategy for Plastics in a Circular Economy was adopted in January 2018 to reduce greenhouse gas emissions and dependence on imported fossil fuels.…”

Section: The Green Initiative To Reduce Plastic and Insulin Wastementioning

confidence: 99%

Section: The Green Initiative To Reduce Plastic and Insulin Wastementioning

confidence: 99%

Improving the Patient Experience With Longer Wear Infusion Sets Symposium Report

Nguyen

Buckingham

et al. 2022

J Diabetes Sci Technol

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Continuous subcutaneous insulin infusion (CSII) therapy is becoming increasingly popular. CSII provides convenient insulin delivery, precise dosing, easy adjustments for physical activity, stress, or illness, and integration with continuous glucose monitors in hybrid or other closed-loop systems. However, even as insulin pump hardware and software have advanced, technology for insulin infusion sets (IISs) has stayed relatively stagnant over time and is often referred to as the “Achilles heel” of CSII. To discuss barriers to insulin pump therapy and present information about advancements in, and results from clinical trials of extended wear IISs, Diabetes Technology Society virtually hosted the “Improving the Patient Experience with Longer Wear Infusion Sets Symposium” on December 1, 2021. The symposium featured experts in the field of IISs, including representatives from Steno Diabetes Center Copenhagen, University of California San Francisco, Stanford University, Medtronic Diabetes, and Science Consulting in Diabetes. The webinar’s seven speakers covered (1) advancements in insulin pump therapy, (2) efficacy of longer wear infusion sets, and (3) innovations to reduce plastics and insulin waste.

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“…It will require collaboration across these stakeholders as well as financial commitment to make diabetes care environmentally sustainable. 144…”

Section: Session 11: Hot Topicsmentioning

confidence: 99%

Diabetes Technology Meeting 2021

Nguyen

DuBord

et al. 2022

J Diabetes Sci Technol

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Diabetes Technology Society hosted its annual Diabetes Technology Meeting on November 4 to November 6, 2021. This meeting brought together speakers to discuss various developments within the field of diabetes technology. Meeting topics included blood glucose monitoring, continuous glucose monitoring, novel sensors, direct-to-consumer telehealth, metrics for glycemia, software for diabetes, regulation of diabetes technology, diabetes data science, artificial pancreas, novel insulins, insulin delivery, skin trauma, metabesity, precision diabetes, diversity in diabetes technology, use of diabetes technology in pregnancy, and green diabetes. A live demonstration on a mobile app to monitor diabetic foot wounds was presented.

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The Diabetes Technology Society Green Declaration

Abstract: and the Netherlands) met virtually to convene the Green Diabetes Summit (GDS) on July 21, 2021. The summit focused on various aspects of diabetes technology and waste. The purposes of the summit were the following:

Cited by 4 publications

References 2 publications

Medical sharps in Portugal: a cross-sectional survey of disposal practices among the diabetic population

Medical sharps in Portugal: a cross-sectional survey of disposal practices among the diabetic population

Improving the Patient Experience With Longer Wear Infusion Sets Symposium Report

Diabetes Technology Meeting 2021

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