Psychosocial Impact of the Bionic Pancreas During Summer Camp

Jill Weissberg-Benchell1, Danielle Hessler2, William H Polonsky3

  • 1Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA jwbenchell@luriechildrens.org.

Insights

The bionic pancreas (BP) improved psychosocial outcomes for children with diabetes, reducing fear and burden. However, users desired faster responses and found the equipment cumbersome.

Area of Science:

  • Pediatric endocrinology
  • Biomedical engineering
  • Psychology

Background:

  • The bionic pancreas (BP) is an emerging technology for type 1 diabetes management.
  • Assessing the psychosocial impact of such technologies on pediatric populations is crucial for adoption and adherence.

Purpose of the Study:

  • To evaluate the psychosocial effects of using the bionic pancreas in children with type 1 diabetes.
  • To identify both benefits and challenges associated with BP use in a pediatric camp setting.

Main Methods:

  • A crossover design was employed, with 19 children randomly assigned to 5 days of BP use and 5 days of control.
  • Psychosocial outcomes were assessed through validated measures and qualitative feedback.

Main Results:

  • Children using the bionic pancreas reported significant reductions in fear of hypoglycemia and diabetes regimen burden.
  • Participants felt less worried about diabetes and experienced greater freedom to engage in enjoyable activities.
  • User feedback highlighted a desire for faster BP response to out-of-range glucose levels and annoyance with equipment portability.

Conclusions:

  • The bionic pancreas shows promise for improving psychosocial well-being in children with type 1 diabetes.
  • Key areas for technological improvement include response time and device convenience.
  • Further research in real-world settings with larger cohorts is needed to confirm generalizability.
Abstract

Related Concept Videos

Robbers Cave04:49

Robbers Cave

During the 1950s, the landmark Robbers Cave experiment demonstrated that when groups must compete with one another, intergroup conflict, hostility, and even violence may result. At the Oklahoman summer camp, two troops of boys—termed the Rattlers and the Eagles—took part in a week-long tournament. During this time, their negativity culminated in derogatory name-calling, fistfights, and even vandalism and destruction of property. However, this work also revealed that such tension...
15.0K
Insulin: Dosing Regimen and Adverse Effects01:16

Insulin: Dosing Regimen and Adverse Effects

Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
1.2K
Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
1.3K
Glucose Homeostasis: Pancreatic Islets and Insulin Secretion01:27

Glucose Homeostasis: Pancreatic Islets and Insulin Secretion

The pancreatic islets comprising only 1%-2% of the volume are highly vascularized and innervated mini-organs. They contain five endocrine cell types, including β cells that secrete insulin, which is synthesized as a single polypeptide chain, preproinsulin, processed to proinsulin, and finally to insulin and C-peptide. This process is complex and regulated, involving the Golgi complex, the endoplasmic reticulum, and the secretory granules of the β cell.
Insulin and C-peptide are...
3.0K
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
5.9K
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
467