Barriers and Facilitators to Diabetes Device Adoption for People with Type 1 Diabetes

Curr Diab Rep. 2022 Jul;22(7):291-299. doi: 10.1007/s11892-022-01469-w. Epub 2022 May 6.

Abstract

Purpose of review: Diabetes technology (insulin pumps, continuous glucose monitoring, automated insulin delivery systems) has advanced significantly and provides benefits to the user. This article reviews the current barriers to diabetes device adoption and sustained use, and outlines the known and potential facilitators for increasing and sustaining device adoption.

Recent findings: Barriers to diabetes device adoption continue to exist at the system-, provider-, and individual-level. Known facilitators to promote sustained adoption include consistent insurance coverage, support for providers and clinics, structured education and support for technology users, and device user access to support as needed (e.g., through online resources). Systemic barriers to diabetes device adoption persist while growing evidence demonstrates the increasing benefits of newest devices and systems. There are ongoing efforts to develop evidence-based structured education programs to support device adoption and sustained use.

Keywords: Automated insulin delivery systems; Barriers; Continuous glucose monitoring; Insulin pumps; Type 1 diabetes.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Blood Glucose
  • Blood Glucose Self-Monitoring
  • Diabetes Mellitus, Type 1* / drug therapy
  • Humans
  • Insulin Infusion Systems
  • Insulins* / therapeutic use

Substances

  • Blood Glucose
  • Insulins