SKIN-PEDIC: A Worldwide Assessment of Skin Problems in Children and Adolescents Using Diabetes Devices
Authors' conclusion
Skin problems are a serious concern that limits the use of diabetes devices in children and adolescents, consequently increasing risk for long-term complications. This study highlights the extent of the problem in a real-world setting of unselected participants despite the use of preventive strategies. Consequently, the development of more skin-friendly devices is needed to ensure that all children and adolescents with diabetes can effectively use these devices in the long term.
Study context
- Population
- Children and adolescents with diabetes using diabetes devices, 22 pediatric diabetes centers worldwide
- Participants
- 1,719 children
- Exposure
- Insulin pump sites vs glucose sensor sites
- Outcome
- Prevalence of skin issues
Methodological detailsmultinational, 22 pediatric diabetes centers, 4-week data collection, Pseudonymized data collected over a 4-week period: demographics, visual skin problems, device types and products used
- Multinational
- 22 pediatric diabetes centers
- 4-week data collection
- Pseudonymized data collected over a 4-week period: demographics, visual skin problems, device types and products used
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
Skin problem types by device site
- Eczema at both insulin pump and glucose sensor sites
- 9% of participants
- Scars, wounds and lipodystrophies significantly more frequent at insulin pump than glucose sensor sites
Factors associated with skin problems (univariate logistic regression)
- Xerosis cutis and keratosis pilaris strongly associated with almost all types of skin problems, increasing risk
- 2 to fivefold
Original publication
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