Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systems
There have been tremendous advances in diabetes technology in the last decade. Continuous glucose monitors (CGM), insulin pumps, and automated insulin delivery (AID) systems aim to improve glycemic control while simultaneously decreasing the burden of diabetes management. Although diabetes technolog...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-03-01
|
| Series: | Journal of Clinical & Translational Endocrinology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221462372100034X |
| _version_ | 1818289685498167296 |
|---|---|
| author | Brynn E. Marks Kristen M. Williams Jordan S. Sherwood Melissa S. Putman |
| author_facet | Brynn E. Marks Kristen M. Williams Jordan S. Sherwood Melissa S. Putman |
| author_sort | Brynn E. Marks |
| collection | DOAJ |
| description | There have been tremendous advances in diabetes technology in the last decade. Continuous glucose monitors (CGM), insulin pumps, and automated insulin delivery (AID) systems aim to improve glycemic control while simultaneously decreasing the burden of diabetes management. Although diabetes technologies have been shown to decrease both hypoglycemia and hyperglycemia and to improve health-related quality of life in individuals with type 1 diabetes, the impact of these devices in individuals with cystic fibrosis-related diabetes (CFRD) is less clear. There are unique aspects of CFRD, including the different underlying pathophysiology and unique lived health care experience and comorbidities, that likely affect the use, efficacy, and uptake of diabetes technology in this population. Small studies suggest that CGM is accurate and may be helpful in guiding insulin therapy for individuals with CFRD. Insulin pump use has been linked to improvements in lean body mass and hemoglobin A1c among adults with CFRD. A recent pilot study highlighted the promise of AID systems in this population. This article provides an overview of practical aspects of diabetes technology use and device limitations that clinicians must be aware of in caring for individuals with CF and CFRD. Cost and limited insurance coverage remain significant barriers to wider implementation of diabetes technology use among patients with CFRD. Future studies exploring strategies to improve patient and CF provider education about these devices and studies showing the effectiveness of these technologies on health and patient-reported outcomes may lead to improved insurance coverage and increased rates of uptake and sustained use of these technologies in the CFRD community. |
| first_indexed | 2024-12-13T02:16:12Z |
| format | Article |
| id | doaj.art-caabf2f22dcb4b55a33f73d3b4b528a6 |
| institution | Directory Open Access Journal |
| issn | 2214-6237 |
| language | English |
| last_indexed | 2024-12-13T02:16:12Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Clinical & Translational Endocrinology |
| spelling | doaj.art-caabf2f22dcb4b55a33f73d3b4b528a62022-12-22T00:02:53ZengElsevierJournal of Clinical & Translational Endocrinology2214-62372022-03-0127100282Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systemsBrynn E. Marks0Kristen M. Williams1Jordan S. Sherwood2Melissa S. Putman3Division of Endocrinology and Diabetes, Children’s National Hospital, 111 Michigan Ave, NW, Washington, DC 20010, USA; Corresponding author at: Division of Endocrinology and Diabetes, Children’s National Hospital, 111 Michigan Ave, NW, Washington, DC, USA.Division of Pediatric Endocrinology, Diabetes, and Metabolism, Columbia University Irving Medical Center, 1150 St Nicholas Avenue, New York, NY 10032, United StatesDiabetes Research Center, Division of Pediatric Endocrinology, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United StatesDivision of Endocrinology, Boston Children’s Hospital, 300 Longwood Ave, Boston, MA 02115, United States; Diabetes Research Center, Division of Endocrinology, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United StatesThere have been tremendous advances in diabetes technology in the last decade. Continuous glucose monitors (CGM), insulin pumps, and automated insulin delivery (AID) systems aim to improve glycemic control while simultaneously decreasing the burden of diabetes management. Although diabetes technologies have been shown to decrease both hypoglycemia and hyperglycemia and to improve health-related quality of life in individuals with type 1 diabetes, the impact of these devices in individuals with cystic fibrosis-related diabetes (CFRD) is less clear. There are unique aspects of CFRD, including the different underlying pathophysiology and unique lived health care experience and comorbidities, that likely affect the use, efficacy, and uptake of diabetes technology in this population. Small studies suggest that CGM is accurate and may be helpful in guiding insulin therapy for individuals with CFRD. Insulin pump use has been linked to improvements in lean body mass and hemoglobin A1c among adults with CFRD. A recent pilot study highlighted the promise of AID systems in this population. This article provides an overview of practical aspects of diabetes technology use and device limitations that clinicians must be aware of in caring for individuals with CF and CFRD. Cost and limited insurance coverage remain significant barriers to wider implementation of diabetes technology use among patients with CFRD. Future studies exploring strategies to improve patient and CF provider education about these devices and studies showing the effectiveness of these technologies on health and patient-reported outcomes may lead to improved insurance coverage and increased rates of uptake and sustained use of these technologies in the CFRD community.http://www.sciencedirect.com/science/article/pii/S221462372100034XCystic fibrosis-related diabetesContinuous glucose monitorInsulin pumpAutomated insulin deliveryPatient reported outcomes |
| spellingShingle | Brynn E. Marks Kristen M. Williams Jordan S. Sherwood Melissa S. Putman Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systems Journal of Clinical & Translational Endocrinology Cystic fibrosis-related diabetes Continuous glucose monitor Insulin pump Automated insulin delivery Patient reported outcomes |
| title | Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systems |
| title_full | Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systems |
| title_fullStr | Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systems |
| title_full_unstemmed | Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systems |
| title_short | Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systems |
| title_sort | practical aspects of diabetes technology use continuous glucose monitors insulin pumps and automated insulin delivery systems |
| topic | Cystic fibrosis-related diabetes Continuous glucose monitor Insulin pump Automated insulin delivery Patient reported outcomes |
| url | http://www.sciencedirect.com/science/article/pii/S221462372100034X |
| work_keys_str_mv | AT brynnemarks practicalaspectsofdiabetestechnologyusecontinuousglucosemonitorsinsulinpumpsandautomatedinsulindeliverysystems AT kristenmwilliams practicalaspectsofdiabetestechnologyusecontinuousglucosemonitorsinsulinpumpsandautomatedinsulindeliverysystems AT jordanssherwood practicalaspectsofdiabetestechnologyusecontinuousglucosemonitorsinsulinpumpsandautomatedinsulindeliverysystems AT melissasputman practicalaspectsofdiabetestechnologyusecontinuousglucosemonitorsinsulinpumpsandautomatedinsulindeliverysystems |