The impact of real-time sensor technology on quality of life for adults with type 1 diabetes: A Dutch national survey
Authors' conclusion
RT-CGM positively impacted the quality of life of adults with type 1 diabetes. This justifies a (re-)consideration of broader access. Increased support to maximize device benefits and minimize burdens is also warranted.
Study context
- Population
- Dutch adults with T1D using real-time continuous glucose monitoring (RT-CGM)69% used automated insulin delivery (AID)
- Participants
- 893 adults
- Exposure
- RT-CGM within AID vs outside AID
- Outcome
- Impact of RT-CGM on quality of life
Methodological detailsretrospective, observational, online survey, national
- Retrospective
- Observational
- Online survey
- National
Main finding
As reported in the abstract
Quality of life related to RT-CGM use
- Overall sample reported improvements in quality of life with RT-CGM use (irrespective of initial indication), particularly physical health, emotional wellbeing and energy
- Merits for sleep, intimacy and cognitive diabetes load lagged somewhat behind, mostly when RT-CGM was not integrated in AID
- AID users had significantly larger improvements in overall quality of life, fatigue and diabetes-specific distress than sensor-augmented pump or Open Loop users
Observational data: associations, not effects.
Further findings
Determinants of user evaluations (regression analyses)
- User evaluations were associated with perceptions of benefit and burden
Qualitative content analysis
- Benefits (e.g. life 'normalization', increased perceptions of control) outweighed burdens (e.g. technology frustrations, confrontation with diabetes)
Original publication
The impact of real-time sensor technology on quality of life for adults with type 1 diabetes: A Dutch national survey. Diabetes Res Clin Pract. Published 19 August 2023. doi:10.
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