Parents' experiences on the combined use of continuous subcutaneous insulin infusion and real-time continuous glucose monitoring to manage Type 1 diabetes in their children: A systematic review and meta-synthesis of qualitative studies.
Xiuwen Luo, Jie Pan, Haiyun Lu and 1 others
PMID 34191399WHAT IT FOUND
Parents of children with type 1 diabetes described combined insulin pumps and continuous glucose monitoring as helping sleep, safety and confidence, but alarms, calibration, cost and constant vigilance added burden and sometimes strained parent-child relationships.
Key findings
01The synthesis generated six themes covering device use, glucose information, quality of life, burden, parent-child relationships, and expectations.
02Parents reported benefits including reassurance, reduced anxiety, and less need to constantly remind children about self-care.
03Parents also reported psychological and financial burdens, including stress, worry, and cost or insurance concerns.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a qualitative evidence synthesis, so it reports parents' experiences and cannot show whether the devices improve glycaemic control, safety, or quality of life. Some included studies also involved adults, adolescents, healthcare providers, and partners, and the authors said these data could not always be separated from parent data. Only English-language studies were searched, and grey literature was excluded, so experiences from non-English-speaking settings may be missing. The included studies came from the USA, UK, Canada, and Germany, so findings may not transfer to Chinese families, where the paper says the technology is mainly used in clinical research. Diabetes technology changed rapidly over the review period, so device experiences may not match current systems.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read this as evidence that combined pump and CGM improves glycaemic control or quality of life. It synthesises parents' reported experiences, and the themes include both benefits and burdens.