Attitudes and Practices of Youth and Young Adults with Type 1 Diabetes toward Self-Adjustments of Insulin Pump Settings
Authors' conclusion
Independent insulin pump adjustments between clinic visits were associated with HbA1c levels closer to recommended targets.
Study context
- Population
- Children, adolescents and young adults with T1D using nonautomated insulin pumps, Schneider Children's Medical Center of Israel, 2019–2023; mean age 15.5 ± 5.7 years, 56% female, median HbA1c 7.5%completed questionnaire
- Participants
- 75 children
- Outcome
- Frequency and practices of insulin pump self-adjustments and their association with glycemic outcomes
Methodological detailsretrospective survey, single-centre, Survey of 15 questions on self-management behaviors, pump parameter modifications and attitudes toward automated decision support
- Retrospective survey
- Single-centre
- Survey of 15 questions on self-management behaviors, pump parameter modifications and attitudes toward automated decision support
Main finding
As reported in the abstract
Insulin pump self-adjustment practices
- Never independently adjusted insulin doses between clinical encounters
- 40%
- Rarely adjusted (1-2 times yearly)
- 33.3%
- Basal rate the most frequently modified parameter
- 93.8%
- Greater adjustment frequency correlated with glucose levels closer to target (rs = −0.389)
- p < 0.001
Observational data: associations, not effects.
Further findings
Willingness to use automated insulin adjustment recommendations
- Willing to use automated insulin adjustment recommendations
- 69%
Baseline characteristics
- Median daily insulin dose (0.6, 0.9)
- 0.76 units/kg
- Median HbA1c 7.5% (IQR 6.9, 8.6)
Original publication
Attitudes and Practices of Youth and Young Adults with Type 1 Diabetes toward Self-Adjustments of Insulin Pump Settings. Horm Res Paediatr. Published 9 July 2026. doi:10.
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