Prevalence and types of insulin-pump–related skin complications in children and adolescents with type 1 diabetes: A systematic review and meta-analysis
Authors' conclusion
The findings indicate that skin complications are common among young users of insulin pumps and related diabetes technologies, but interpretation is limited by inconsistent definitions, outcome ascertainment, and heterogeneous outcome reporting.
Study context
- Population
- Children and adolescents with T1D using insulin pumps and related diabetes technologies
- Participants
- 796 children5 studies
- Outcome
- Prevalence of any skin complication
Methodological detailsrandom-effects model
- Random-effects model
Pooled result
As reported in the abstract
Any skin complication
Pooled prevalence of any skin complication
63.8%
95% CI 47.8%–77.2%
Heterogeneity (I2)
92.1%
Further pooled results
Specific skin complications
- Pooled prevalence of scarring/insertion marks
- 36.7%
- Pooled prevalence of lipohypertrophy
- 24.1%
- Pooled prevalence of eczema/dermatitis-like reactions
- 16.6%
- Pooled prevalence of infection/folliculitis
- 8.6%
- Pooled prevalence of lipoatrophy
- 5.1%
Original publication
Prevalence and types of insulin-pump–related skin complications in children and adolescents with type 1 diabetes: A systematic review and meta-analysis. Diabetes Res Clin Pract. Published 9 July 2026. doi:10. 1016/ j. diabres. 2026. 113412
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