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Perception and Possible Causes of Skin Problems to Insulin Pump and Glucose Sensor: Results from Pediatric Focus

Anna Korsgaard Berg1,2, Anne Birgitte Simonsen3, Jannet Svensson1,2

  • 11 Department of Pediatrics, Copenhagen Diabetes Research Center (CPH-DIRECT), Copenhagen University Hospital , Herlev and Gentofte, Herlev, Denmark .

Diabetes Technology & Therapeutics
|July 26, 2018
PubMed

Insights

Children using insulin pumps and glucose sensors for diabetes may experience skin issues like eczema and itching. Further research is needed into the causes, including device materials and skin type, and their impact on daily life.

Area of Science:

  • Pediatric Endocrinology
  • Dermatology
  • Medical Device Technology

Background:

  • Insulin pumps and continuous glucose sensors are common in pediatric diabetes management.
  • Skin complications, including eczema, wounds, and itching, are reported in children using these devices.
  • The underlying mechanisms and impact on quality of life remain poorly understood.

Purpose of the Study:

  • To explore children's and parents' perceptions of skin problems related to diabetes technology.
  • To identify patient-reported causes of these skin issues.
  • To gain insight into the daily life consequences of skin problems.

Main Methods:

  • Qualitative study utilizing two focus groups with children and/or parents.
  • Exploration of experiences and perceptions regarding skin issues and diabetes devices.

Main Results:

  • Focus groups revealed significant impacts on patients' and parents' lives, including itching, reduced concentration, and effects on self-esteem.
  • New perspectives on potential causes emerged, highlighting device materials (plastics, patch, vacuum effect), duration of use, and individual skin characteristics.
  • The study provided valuable insights into the patient experience and potential etiological factors.

Conclusions:

  • Skin problems associated with insulin pumps and glucose sensors significantly affect children with diabetes.
  • Further investigation into the roles of device materials, wear time, and skin characteristics is warranted.
  • Understanding these factors can lead to improved management strategies and enhanced quality of life for pediatric patients.

Keywords:
Focus groupsGlucose sensorInsulin pumpPediatricsSkin problemsType 1 diabetes

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