Diabetes technology

Smart Pens: Expectations Regarding Use and Functionality From Health Care Providers

J Diabetes Sci TechnolPublished Cross-sectional study

Authors' conclusion

Smart pens are underutilized compared to expectations. Cost and reimbursement remain the predominant barriers, while reminder functionality stands out as the most valued feature.

Study context

Population
Diabetes specialists and diabetes educators (HCPs) in Germany, Austria, Switzerland and Spain; survey November–December 2024, part of the 2025 dt-report
Participants
1,294 HCPs
Outcome
Smart pen use, indication, valued features and barriers (HCP estimates and ratings on 5-point scales)
Methodological detailsonline survey, multinational
  • Online survey
  • Multinational

Main finding

As reported in the abstract

Estimated current smart pen use, T1D
4% to 15%
Estimated current smart pen use, T2D
3% to 6%
Indication rate, T1D
51% to 73%
Indication rate, T2D with intensive insulin therapy
up to 69%
Rating: reminders for missed insulin doses
4.4 ± 0.7
Rating: bolus dose suggestions
4.1 ± 0.8
Rating: integration with continuous glucose monitoring (CGM) apps
4.1 ± 0.8
Rating: temperature alerts
3.7 ± 1.0
Rating: basal insulin suggestions (less important)
3.3 ± 1.1
Barrier: preference for disposable pens
57%
Barrier: limited device options
54%
Barrier: high cost
53%

Observational data: associations, not effects.

Further findings

Physicians vs diabetes educators

No significant differences between physicians and diabetes educators

Cost reimbursement concerns, DE respondents

Concerns over cost reimbursement rose compared to the 2024 dt-report

Original publication

Smart Pens: Expectations Regarding Use and Functionality From Health Care Providers. J Diabetes Sci Technol. Published 23 May 2026. doi:10.1177/19322968261448215

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

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