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Updated: Jul 8, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Parental Perspectives and Clinical Outcomes across Insulin Delivery Methods for Pediatric Diabetes Management
1School of Nursing, William Paterson University, Wayne, NJ, United States of America; Department of Pediatrics, The Valley Hospital, Paramus, NJ, United States of America.
Background:
Pediatric diabetes management places substantial daily responsibility on caregivers and may contribute to diabetes-related distress. Advancing insulin technologies, including continuous glucose monitoring (CGM), mobile health applications, and automated insulin delivery (AID) systems, may reduce caregiver burden while improving glycemic outcomes.
Objective:
To examine associations between insulin delivery method (insulin pen, traditional insulin pump, or AID system) and caregiver distress, treatment satisfaction, and caregiver-reported clinical outcomes, including hemoglobin A1c (HbA1c) and time in range (TIR), among children with type 1 diabetes.
Methods:
A cross-sectional survey of parents/guardians of children aged 4-16 years with type 1 diabetes was conducted at a pediatric endocrinology practice in northern New Jersey. Caregiver distress and treatment satisfaction were measured using the PAID-PR and IDSS. Group differences were analyzed using ANOVA with Tukey post hoc tests, and associations with HbA1c and TIR were evaluated using chi-square tests.
Results:
Of 73 responses, 53 met inclusion criteria. Insulin delivery method was significantly associated with treatment satisfaction (p < .001), and caregiver distress (p = .004). AID users reported higher satisfaction, lower distress, and were more likely to achieve optimal HbA1c and TIR (p < .01).
Conclusions:
AID systems were associated with improved glycemic outcomes and caregiver experiences. These findings support integrating advanced diabetes technologies into pediatric care while addressing access-related factors influencing technology use.
Implications To Practice:
Automated insulin delivery systems may improve glycemic control and reduce caregiver distress. Healthcare providers should promote education, shared decision-making, and equitable access to diabetes technology.
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