Preserving Skin Integrity with Chronic Device Use in Diabetes

Area of Science:

• Endocrinology
• Dermatology
• Medical Device Technology

Background:

• Skin integrity issues are common among individuals with diabetes using continuous glucose monitors (CGMs) and insulin pumps.
• Dermatological complications can lead to device discontinuation and are frequently discussed in clinical practice.
• Limited evidence-based literature exists to guide healthcare providers in managing these skin issues.

Purpose of the Study:

• To review the prevalence of dermatological issues associated with insulin pumps and CGMs.
• To discuss existing literature-based solutions for managing skin irritation.
• To share clinical experience on device placement, skin care, adhesives, removal, and healing.

Main Methods:

• Literature review on dermatological complications with diabetes devices.
• Consolidation of expert experience from a large academic diabetes clinic.
• Analysis of issues including placement, prophylactic care, adhesives, and skin healing.

Main Results:

• Dermatological complications are a significant barrier to consistent use of diabetes devices.
• Existing solutions for skin irritation are discussed, alongside practical clinic-based recommendations.
• The need for evidence-based guidance for managing skin integrity is highlighted.

Conclusions:

• Addressing skin integrity is vital for sustained use of CGMs and insulin pumps.
• Further research is needed to develop improved adhesives and management strategies.
• Recommendations include targeted studies and enhanced surveillance for device-related skin issues.