“The pump is one thing… but you should walk out of the hospital with a [sensor]”: Perceptions on diabetes technology from minoritized caregivers in the US
Authors' conclusion
Caregivers of youth with T1D and public insurance endorse the perception that CGM is a necessity over an insulin pump. Clinicians should be aware of this perception given the overwhelming evidence supporting that automated insulin delivery systems improve diabetes outcomes. These data further outline the importance of continued advocacy by clinicians, payers, and industry for equitable access to diabetes technology for all youth with T1D.
Study context
- Population
- Caregivers of youth with T1D on public insurance at Stanford Medicine Children's Health; mean age 39 ± 8 years, youth age range 3–11 years, 67% Hispanic, 48% Spanish-speaking, 69% income <$50 K
- Participants
- 21 caregivers
- Outcome
- Reasons caregivers cited for lower uptake of insulin pumps vs CGM sensors
Methodological detailspilot, focus groups or interviews, deductive and inductive analysis, English or Spanish per caregiver preference, Transcripts analysed by a four-member team incl. three bilingual members
- Pilot
- Focus groups or interviews
- Deductive and inductive analysis
- English or Spanish per caregiver preference
- Transcripts analysed by a four-member team incl. three bilingual members
Main finding
As reported in the abstract
Themes on diabetes technology
- Prevailing novel theme: CGM is a necessity, but an insulin pump is negotiable — sub-themes: child preference (e.g., body real estate), parental hesitancy (e.g., pump mistrust), provider as gatekeeper (e.g., CGM prioritized)
- Second and third themes: insurance-related barriers and language-related barriers (e.g., English manuals only)
- Final theme: facilitators of pump use (e.g., recommendation by provider)
Original publication
“The pump is one thing… but you should walk out of the hospital with a [sensor]”: Perceptions on diabetes technology from minoritized caregivers in the US. Diabet Med. Published 10 December 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →