TY - JOUR
T1 - Patient experiences of continuous glucose monitoring and sensor-augmented insulin pump therapy for diabetes
T2 - A systematic review of qualitative studies
AU - Natale, Patrizia
AU - Chen, Sharon
AU - Chow, Clara K.
AU - Cheung, Ngai Wah
AU - Martinez-Martin, David
AU - Caillaud, Corinne
AU - Scholes-Robertson, Nicole
AU - Kelly, Ayano
AU - Craig, Jonathan C.
AU - Strippoli, Giovanni
AU - Jaure, Allison
PY - 2023/12
Y1 - 2023/12
N2 - Aims: Blood glucose control is central to the management of diabetes, and continuous glucose monitoring (CGM) improves glycemic control. We aimed to describe the perspectives of people with diabetes using CGM. Materials and methods: We performed a systematic review of qualitative studies. Results: Fifty-four studies involving 1845 participants were included. Six themes were identified: gaining control and convenience (reducing pain and time, safeguarding against complications, achieving stricter glucose levels, and sharing responsibility with family); motivating self-management (fostering ownership, and increasing awareness of glycemic control); providing reassurance and freedom (attaining peace of mind, and restoring social participation); developing confidence (encouraged by the endorsement of others, gaining operational skills, customizing settings for ease of use, and trust in the device); burdened with device complexities (bewildered by unfamiliar technology, reluctant to rely on algorithms, overwhelmed by data, frustrated with malfunctioning and inaccuracy, distressed by alerts, and bulkiness of machines interfering with lifestyle); and excluded by barriers to access (constrained by cost, lack of suppliers). Conclusions: CGM can improve self-management and confidence in patients managing diabetes. However, the technical issues, uncertainty in readings, and cost may limit the uptake. Education and training from the health professionals may help to reduce the practical and psychological burden for better patient outcomes.
AB - Aims: Blood glucose control is central to the management of diabetes, and continuous glucose monitoring (CGM) improves glycemic control. We aimed to describe the perspectives of people with diabetes using CGM. Materials and methods: We performed a systematic review of qualitative studies. Results: Fifty-four studies involving 1845 participants were included. Six themes were identified: gaining control and convenience (reducing pain and time, safeguarding against complications, achieving stricter glucose levels, and sharing responsibility with family); motivating self-management (fostering ownership, and increasing awareness of glycemic control); providing reassurance and freedom (attaining peace of mind, and restoring social participation); developing confidence (encouraged by the endorsement of others, gaining operational skills, customizing settings for ease of use, and trust in the device); burdened with device complexities (bewildered by unfamiliar technology, reluctant to rely on algorithms, overwhelmed by data, frustrated with malfunctioning and inaccuracy, distressed by alerts, and bulkiness of machines interfering with lifestyle); and excluded by barriers to access (constrained by cost, lack of suppliers). Conclusions: CGM can improve self-management and confidence in patients managing diabetes. However, the technical issues, uncertainty in readings, and cost may limit the uptake. Education and training from the health professionals may help to reduce the practical and psychological burden for better patient outcomes.
KW - continuous glucose monitoring
KW - insulin pump therapy
KW - patient experiences
KW - type 1 diabetes
KW - type 2 diabetes
UR - http://www.scopus.com/inward/record.url?scp=85166954985&partnerID=8YFLogxK
U2 - 10.1111/1753-0407.13454
DO - 10.1111/1753-0407.13454
M3 - Article
C2 - 37551735
AN - SCOPUS:85166954985
SN - 1753-0393
VL - 15
SP - 1048
EP - 1069
JO - Journal of Diabetes
JF - Journal of Diabetes
IS - 12
ER -
