Diabetes technology

High incidence of skin reactions secondary to the use of adhesives in glucose sensors or insulin pumps for the treatment of children with type 1 diabetes

Diabetes Res Clin PractPublished Retrospective observational study

Authors' conclusion

This study confirms the high incidence of skin reactions to adhesive devices used in the treatment of type 1 diabetes in children.

Study context

Population
Children with T1D using continuous subcutaneous insulin infusion (CSII) or continuous glucose monitoring (CGM); 46% girls, mean age 11.75 years
Participants
198 children
Exposure
Children with vs without skin reactions
  • Skin reactionsn = 67
Outcome
Incidence of skin reactions secondary to CSII or CGM sensors
Methodological detailssingle-centre, standardised questionnaire, univariate and multivariate analysis
  • Single-centre
  • Standardised questionnaire
  • Univariate and multivariate analysis

Main finding

As reported in the abstract

Active skin reactions

Active skin reactions, all children

67

33.8%

Active skin reactions with CSII

45

30.4%

Active skin reactions with CGM

46

23.5%

Observational data: associations, not effects.

Further findings

Age · younger with skin reactions

P < 0.05

Age at diabetes diagnosis · younger at diagnosis with skin reactions

P < 0.05

Atopy

P < 0.05

Personal history of atopy associated with skin reactions (multivariate analysis)

OR for skin reactions with personal history of atopy, 1.16-5.97 interval as printed, p < 0.05
2.56
  • Only factor associated on multivariate analysis

Original publication

High incidence of skin reactions secondary to the use of adhesives in glucose sensors or insulin pumps for the treatment of children with type 1 diabetes. Diabetes Res Clin Pract. Published 26 September 2023. doi:10.1016/j.diabres.2023.110922

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