Gestational diabetes & diabetes in pregnancy

Rollout of Closed-Loop Technology to Pregnant Women with Type 1 Diabetes: Healthcare Professionals' Views About Potential Challenges and Solutions

Diabetes Technol TherPublished Qualitative interview study

Authors' conclusion

Interviewees identified challenges and opportunities to rolling-out closed-loop and provided practical suggestions to upskill inexperienced staff supporting pregnant women using closed-loop.

Study context

Population
Healthcare professionals who supported pregnant women with T1D using CamAPS FX closed-loop during the AiDAPT trialinterviewed
Participants
19 professionals
Outcome
Healthcare professionals' views on rollout of closed-loop in pregnancy
Methodological detailsdescriptive analysis, online workshop to inform recommendations, Online workshop with 15 trial team members informed recommendations
  • Descriptive analysis
  • Online workshop to inform recommendations
  • Online workshop with 15 trial team members informed recommendations

Main finding

As reported in the abstract

  • Enthusiasm for a national rollout of closed-loop, but anticipated challenges, some specific to pregnancy
  • Challenges: variations in insulin pump and CGM expertise; difficulties embedding and retaining key skills due to relatively small numbers of pregnant women using closed-loop
  • Inexperienced staff highlighted difficulties interpreting data downloads
  • Recommended expert initial training by device manufacturers with online training resources and system-specific checklists
  • Need for 24 h technical support, especially for technology naive women first transitioning onto closed-loop in early pregnancy
  • Recommended case-based meetings and mentorship for inexperienced colleagues, including support interpreting data downloads
  • Optimism that with training and support long-term workloads could be reduced, as closed-loop lessened women's need for glycemic management input, especially in later pregnancy

Original publication

Rollout of Closed-Loop Technology to Pregnant Women with Type 1 Diabetes: Healthcare Professionals' Views About Potential Challenges and Solutions. Diabetes Technol Ther. Published 27 February 2023. doi:10.1089/dia.2022.0479

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

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