Prevalence of and Reasons for Discontinuation of Continuous Subcutaneous Insulin Infusion in People with Type 1 Diabetes: A Systematic Review
Authors' conclusion
Despite many developments in insulin pump technology, discontinuation rates and PWD-reported reasons for and factors associated with insulin pump discontinuation in more recent studies were comparable to earlier reviews/meta-analyses.
Study context
- Population
- People with T1D using CSII (insulin pump); Embase.com, MEDLINE, PsycINFO and CINAHL searched67 publications included
- Outcome
- Rates of insulin pump discontinuation; reasons for and factors associated with discontinuation
Pooled result
As reported in the abstract
Insulin pump discontinuation
Discontinuation percentages, range
0% to 30%
Discontinuation percentages, median
7%
Further pooled results
Reasons for discontinuation
- Most frequently mentioned reasons were wear-related issues (e.g., device attached to the body, interference with daily activities, discomfort, affected body image)
Factors related to discontinuation
- Hemoglobin A1c (HbA1c)
- 17%
- Issues with following treatment recommendations
- 14%
- Age
- 11%
- Gender
- 9%
- Side effects
- 7%
- Comorbidity- and complication-related factors
- 6%
Original publication
Prevalence of and Reasons for Discontinuation of Continuous Subcutaneous Insulin Infusion in People with Type 1 Diabetes: A Systematic Review. Diabetes Technol Ther. Published 2 June 2023. doi:10.
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