Type 1 diabetes

Device-Related Skin Reactions Increase Emotional Burden in Youths With Type 1 Diabetes and Their Parents

J Diabetes Sci TechnolPublished Cross-sectional study

Authors' conclusion

Our study highlighted the increased emotional burden experienced by youths with T1D and their parents due to device-related skin reactions, emphasizing the need for further research and interventions in this crucial aspect of diabetes management.

Study context

Population
Children and adolescents with T1D using technological devices, and their parents1:1 matched
Participants
102 children
Exposure
Youths with device-related skin reactions vs matched controls without
Outcome
Diabetes-related emotional distress: PAID-T (participants aged 11 to 19 years)
Methodological detailsmulticentric, comparative, 1:1 matched controls, consecutive recruitment
  • Multicentric
  • Comparative
  • 1:1 matched controls
  • Consecutive recruitment

Main finding

As reported in the abstract

Diabetes-related emotional distress, PAID-T score (adolescents aged 11 to 19 years)

PAID-T score, adolescents with skin issues vs those without

79.6 ± 21.1 vs 62 ± 16.8

Observational data: associations, not effects.

Further findings

OutcomeSkin reactionsControlP value
PAID-PR score (parents)Higher with skin reactions34.0 ± 11.026.9 ± 12.3P = 0.015
HbA1c and continuous glucose monitoring (CGM) glucose metrics · HbA1c
P = 0.555

HbA1c and CGM glucose metrics

No differences in HbA1c or CGM glucose metrics between the two groups

Safety

Device discontinuation

Forced to discontinue insulin pumps and/or glucose sensors
25.5%
Discontinued insulin pumps
21.5%
Discontinued glucose sensors
5.9%

Original publication

Device-Related Skin Reactions Increase Emotional Burden in Youths With Type 1 Diabetes and Their Parents. J Diabetes Sci Technol. Published 28 May 2024. doi:10.1177/19322968241253285

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