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Published on: June 11, 2012
Parental attitudes towards overnight closed-loop glucose control in children with type 1 diabetes
Daniela Elleri1, Carlo L Acerini, Janet M Allen
1Department of Paediatrics, University of Cambridge, Cambridge CB2 0QQ, United Kingdom.
Insights
Parents of children with type 1 diabetes (T1D) are eager for overnight closed-loop (CL) systems to manage nighttime glucose control, a significant challenge. They expressed trust in CL technology, welcoming its potential for improved diabetes management.
Area of Science:
- Pediatric Endocrinology
- Biomedical Engineering
- Diabetes Technology
Background:
- Parental attitudes towards overnight closed-loop (CL) glucose control in children with type 1 diabetes (T1D) were investigated.
- Nighttime glucose management is a significant challenge for parents of children with T1D.
Purpose of the Study:
- To evaluate parental acceptance and concerns regarding overnight CL glucose control systems.
- To understand parental trust in automated insulin delivery for pediatric T1D management.
Main Methods:
- Focus group and questionnaire-based study with 19 parents of children with T1D.
- Families were recruited through the INsulin PUmp Therapy (INPUT) group.
- Participants received information on CL technology and the Artificial Pancreas Project.
Main Results:
- All parents welcomed the development of CL systems for diabetes management.
- 95% of parents were comfortable with their child using a continuous glucose monitor and insulin pump simultaneously.
- 90% of parents expressed no concern about a computer controlling their child's overnight insulin delivery.
Conclusions:
- Parents of children with T1D, particularly insulin pump users, show trust in overnight CL technology.
- Addressing nighttime glucose control challenges through CL systems is a crucial goal for improving T1D management.
- Parental acceptance suggests a positive outlook for the adoption of CL systems in pediatric T1D care.
Background:
This study examined parental attitudes towards overnight closed-loop (CL) glucose control in children and young people with type 1 diabetes (T1D).
Methods:
Twelve families recruited by the INsulin PUmp Therapy group (INPUT), a U.K. patient/carer-led support group for people with T1D, attended a focus meeting on CL. The concept of CL was explained, and clinical results and plans regarding the Artificial Pancreas Project at Cambridge were presented. Participants completed a questionnaire to evaluate parental feelings about T1D management and attitudes towards overnight CL insulin delivery.
Results:
Nineteen parents (12 mothers and seven fathers) anonymously completed the questionnaire. Main concerns about diabetes were related to long-term complications (84%) and hypoglycemia (16%). Achieving good glucose control represented major challenge for carers (83%) with nighttime being the most difficult period to manage (56%), worrying most parents (71%) particularly because of fear of hypoglycemia (33%). The development of CL to manage diabetes was welcomed by all parents (100%) with 95% happy for their child to wear a continuous glucose monitor together with an insulin pump. All parents were ready to respond to additional alarms at night with 90% parents not worried about their child's overnight insulin delivery being controlled by a computer.
Conclusions:
Selected parents of children with T1D who are already insulin pump users express implied trust in the technology for overnight CL insulin delivery. Nighttime blood glucose control is the biggest challenge and concern for parents, and the development of a commercially available overnight CL system may be an important goal.
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