Beyond the insulin pump: Unraveling diabetes tech dependency

IF 6.1 3区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes research and clinical practice Pub Date : 2024-10-19 DOI:10.1016/j.diabres.2024.111896

Emanuele Feliziani , Maria Caterina Chios , Paolo Pozzilli

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Abstract

The use of technology for Type 1 diabetes (T1D) has significantly developed in the last 20 years leading to several benefits in life-style management but also to potentially overreliance and addiction to such life changing devices. Insulin pumps (CSII) being small, discreet and sophisticated, offer features such as customizable basal rates, bolus calculators and integration with Continuous Glucose Monitoring (CGM) systems becoming a must have for diabetic patients. Indeed CGM, firstly introduced in the late 1990s and now being highly sophisticated provide trends and patterns hence allowing a better management of T1D.

In this review we inquire the multifactorial aspects of dependency on diabetes technology, focusing not only on the benefits and the advancements these automations offer, but also the challenges, limits and possible risks associated with overreliance on them. Specifically, the impact that early introduction to technology had on patients, the dependency on CSII and CGM, the importance of learning and self-management skills and strategies for addressing unexpected events.

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超越胰岛素泵：揭开糖尿病技术依赖症的神秘面纱。

在过去的 20 年里，1 型糖尿病（T1D）技术的应用有了长足的发展，为生活方式管理带来了诸多益处，但也可能导致对这种改变生活的设备的过度依赖和上瘾。胰岛素泵（CSII）小巧、隐蔽、精密，具有可定制基础率、栓剂计算器和与连续血糖监测（CGM）系统集成等功能，已成为糖尿病患者的必备设备。事实上，连续血糖监测系统于 20 世纪 90 年代末首次问世，如今已变得非常复杂，能提供各种趋势和模式，从而更好地管理 T1D。在这篇综述中，我们探究了依赖糖尿病技术的多因素方面，不仅关注这些自动化技术带来的益处和进步，还关注过度依赖这些技术带来的挑战、限制和可能的风险。具体而言，早期引入技术对患者的影响、对 CSII 和 CGM 的依赖、学习和自我管理技能的重要性以及应对突发事件的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes research and clinical practice 医学-内分泌学与代谢

CiteScore

10.30

自引率

3.90%

发文量

862

审稿时长

32 days

期刊介绍： Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.