Diabetes technology

Lived Experience of Fully Closed-Loop Insulin Delivery in Adults with Type 1 Diabetes

Diabetes Technol TherPublished Qualitative substudy of the CLEAR randomised crossover study

Authors' conclusion

In adults with type 1 diabetes, use of a fully closed-loop insulin delivery system had significant quality-of-life benefits and provided a welcome break from the day-to-day demands of living with diabetes.

Study context

Population
Adults with T1D and suboptimal glycemic outcomes in the CLEAR study, after 8 weeks of fully closed-loop use; age range 26–66 years8 male, 3 female
Participants
11 adults
Methodological detailssemistructured interviews, virtual, inductive-deductive thematic analysis
  • Semistructured interviews
  • Virtual
  • Inductive-deductive thematic analysis

Primary result

As reported in the abstract

Psychosocial impact of the fully automated system · after 8 weeks of fully closed-loop use
  • After an initial adjustment period: reduced diabetes burden, freed-up mental capacity, improved mood
  • All happy with overnight glycemic outcomes; majority reported sleep benefits
  • Postprandial glucose experiences varied; all found mealtimes easier and less stressful, especially eating out
  • Negatives: mainly insulin pump hardware; some reported increased snacking and challenges resuming carbohydrate counting at trial closeout

Original publication

Lived Experience of Fully Closed-Loop Insulin Delivery in Adults with Type 1 Diabetes. Diabetes Technol Ther. Published 28 February 2024. doi:10.1089/dia.2023.0394

Composed by AI from the published abstract and checked against it. How Briefs are made →

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