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Couples Managing Type 1 Diabetes Using Diabetes Technology.

Nancy A Allen1, Michelle L Litchman1,2, Sarah Neller1

  • 1University of Utah College of Nursing, Salt Lake City, UT.

Diabetes Spectrum : a Publication of the American Diabetes Association
|December 6, 2021
PubMed
Summary
This summary is machine-generated.

Diabetes technology like insulin pumps and continuous glucose monitoring can improve relationships for people with diabetes by enhancing shared management and communication. However, it may also introduce new tensions and sleep disruptions for couples.

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Area of Science:

  • Endocrinology
  • Psychology
  • Sociology

Background:

  • Diabetes technology, including insulin pumps and continuous glucose monitoring (CGM), has significantly advanced diabetes care.
  • Limited research exists on the impact of these technologies on the relational dynamics within couples managing diabetes.

Purpose of the Study:

  • To investigate how the use of diabetes technology influences couple interactions and relationship dynamics.
  • To explore the experiences of couples coping with type 1 diabetes using insulin pumps and/or CGM.

Main Methods:

  • A qualitative secondary data analysis using a constant-comparison approach was employed.
  • Separate semi-structured interviews were conducted with individuals with diabetes and their spouses, focusing on coping mechanisms.
  • 134 couples using insulin pumps or CGM systems participated in the study.

Main Results:

  • Four key themes emerged: technology facilitates shared management and spousal involvement, but also creates relationship tension.
  • Technology positively impacts collaboration, communication, and reduces diabetes burden.
  • Negative impacts include increased relationship tension, lifestyle inconveniences, and varied responses to alarms and sleep disruptions.

Conclusions:

  • Couples generally perceive diabetes technology positively, fostering collaboration and communication while reducing vigilance.
  • Technology can also be a source of relationship tension and lifestyle challenges.
  • Integrating spouses into diabetes technology education is recommended to mitigate negative impacts.