Does Insulin Delivery Technology Change Our Relationship with Foods? A Scoping Review
Authors' conclusion
AID use appears to influence eating behaviors, dietary patterns, and CC, although evidence was limited. AID may reduce food management burden due to the perception that AID can correct for CC inaccuracy.
Study context
- Population
- People with T1D of all ages; studies of automated insulin delivery (AID) use and nutrition variables7 studies
- Comparison
- AID use vs non-AID use
- Outcome
- Nutrition variables in quantitative studies
Methodological detailsblinded search of Medline (OVID) and PubMed, studies January 2000 to July 2023, 3132 articles screened; 7 included (2017-2023): 4 qualitative, 1 crossover, 1 RCT, 1 observational
- Blinded search of Medline (OVID) and PubMed
- Studies January 2000 to July 2023
- 3132 articles screened; 7 included (2017-2023): 4 qualitative, 1 crossover, 1 RCT, 1 observational
Main finding
As reported in the abstract
- Eating distress; lower with AID; ± 0.12
- −0.43; P = 0.004
- Quality of life; higher with AID
- 3.1 (95% CI 0.8–5.4); P = 0.01
- Grams of carbohydrates at meals; no association
- 1.0 (95% CI −0.7 to 3.0); P = 0.24
- Grams of carbohydrates at snacks; no association
- 0.004 (95% CI −0.8 to 0.8); P = 0.99
Further findings
Qualitative findings
- AID increased frequency and portions of food intake and led to less dietary control from parents
- AID users reported eating foods higher in energy density
- PwT1D less worried about accurate carbohydrate counting when using AID
Original publication
Does Insulin Delivery Technology Change Our Relationship with Foods? A Scoping Review. Diabetes Technol Ther. Published 3 January 2024. doi:10. 1089/ dia. 2023. 0382
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