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.
Abstract

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