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Barriers and Facilitators to Diabetes Device Adoption for People with Type 1 Diabetes

Overview
Journal Curr Diab Rep
Publisher Current Science
Specialty Endocrinology
Date 2022 May 6
PMID 35522355
Authors
Affiliations
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Abstract

Purpose Of Review: Diabetes technology (insulin pumps, continuous glucose monitoring, automated insulin delivery systems) has advanced significantly and provides benefits to the user. This article reviews the current barriers to diabetes device adoption and sustained use, and outlines the known and potential facilitators for increasing and sustaining device adoption.

Recent Findings: Barriers to diabetes device adoption continue to exist at the system-, provider-, and individual-level. Known facilitators to promote sustained adoption include consistent insurance coverage, support for providers and clinics, structured education and support for technology users, and device user access to support as needed (e.g., through online resources). Systemic barriers to diabetes device adoption persist while growing evidence demonstrates the increasing benefits of newest devices and systems. There are ongoing efforts to develop evidence-based structured education programs to support device adoption and sustained use.

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References
1.
Borges Jr U, Kubiak T . Continuous Glucose Monitoring in Type 1 Diabetes. J Diabetes Sci Technol. 2016; 10(3):633-639. PMC: 5038544. DOI: 10.1177/1932296816634736. View

2.
Lawton J, Kimbell B, Rankin D, Ashcroft N, Varghese L, Allen J . Health professionals' views about who would benefit from using a closed-loop system: a qualitative study. Diabet Med. 2020; 37(6):1030-1037. DOI: 10.1111/dme.14252. View

3.
Haskova A, Radovnicka L, Petruzelkova L, Parkin C, Grunberger G, Horova E . Real-time CGM Is Superior to Flash Glucose Monitoring for Glucose Control in Type 1 Diabetes: The CORRIDA Randomized Controlled Trial. Diabetes Care. 2020; 43(11):2744-2750. PMC: 7576432. DOI: 10.2337/dc20-0112. View

4.
Ju Z, Piarulli A, Bielick L, Marschall S, Brouillard E, Steenkamp D . Advanced Diabetes Technology Remains Underutilized in Underserved Populations: Early Hybrid Closed-Loop System Experience at an Academic Safety Net Hospital. Diabetes Technol Ther. 2021; 24(2):143-147. DOI: 10.1089/dia.2021.0334. View

5.
Prahalad P, Ebekozien O, Alonso G, Clements M, Corathers S, DeSalvo D . Multi-Clinic Quality Improvement Initiative Increases Continuous Glucose Monitoring Use Among Adolescents and Young Adults With Type 1 Diabetes. Clin Diabetes. 2021; 39(3):264-271. PMC: 8329017. DOI: 10.2337/cd21-0026. View