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