Diabetes technology

Prevalence of skin problems caused by insulin pump therapy and associated factors in children with type 1 diabetes mellitus: A large cross-sectional survey in China

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

The present study documents the prevalence of skin problems and identifies associated factors, such as caregiver's education, patients skin allergies, and using a specific brand of pump. Health education should address these factors in addition to the traditionally emphasized factors.

Study context

Population
Children with T1D using insulin pump therapy, recruited from an online community (Wechat group) of pediatric patients with T1DM, China
Participants
461 children
Outcome
Prevalence of skin problems associated with insulin pump use
Methodological detailsonline survey, parent-completed questionnaire
  • Online survey
  • Parent-completed questionnaire

Main finding

As reported in the abstract

Skin problems

Children reported to have skin problems

308

66.8 %

Observational data: associations, not effects.

Further findings

Types of skin problems

%

Pigmentation changes
38.8
Allergy/dermatitis
22.3
Scaring
20.2
Pain
11.5
Infection
10.8
Subcutaneous lipohypertrophy
10.6
Lipoatrophy
6.1

Independent factors associated with skin problems (logistic regression)

Caregiver's educational level college or above, patient having skin allergies, and using the Brand 2 insulin pump
P < 0.05

Original publication

Prevalence of skin problems caused by insulin pump therapy and associated factors in children with type 1 diabetes mellitus: A large cross-sectional survey in China. Diabetes Res Clin Pract. Published 18 May 2024. doi:10.1016/j.diabres.2024.111714

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