Real-World Use of Do-It-Yourself Artificial Pancreas Systems in Children and Adolescents With Type 1 Diabetes: Online Survey and Analysis of Self-Reported Clinical Outcomes

Autor: Braune, Katarina, O'Donnell, Shane, Cleal, Bryan, Lewis, Dana, Tappe, Adrian, Willaing, Ingrid, Hauck, Bastian, Raile, Klemens
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: JMIR mHealth and uHealth, Vol 7, Iss 7, p e14087 (2019)
Druh dokumentu: article
ISSN: 2291-5222
DOI: 10.2196/14087
Popis: BackgroundPatient-driven initiatives have made uptake of Do-it-Yourself Artificial Pancreas Systems (DIYAPS) increasingly popular among people with diabetes of all ages. Observational studies have shown improvements in glycemic control and quality of life among adults with diabetes. However, there is a lack of research examining outcomes of children and adolescents with DIYAPS in everyday life and their social context. ObjectiveThis survey assesses the self-reported clinical outcomes of a pediatric population using DIYAPS in the real world. MethodsAn online survey was distributed to caregivers to assess the hemoglobin A1c levels and time in range (TIR) before and after DIYAPS initiation and problems during DIYAPS use. ResultsA total of 209 caregivers of children from 21 countries responded to the survey. Of the children, 47.4% were female, with a median age of 10 years, and 99.4% had type 1 diabetes, with a median duration of 4.3 years (SD 3.9). The median duration of DIYAPS use was 7.5 (SD 10.0) months. Clinical outcomes improved significantly, including the hemoglobin A1c levels (from 6.91% [SD 0.88%] to 6.27% [SD 0.67]; P
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