Division of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, CA, USA.
J Diabetes Sci Technol. 2023 Nov;17(6):1440-1447. doi: 10.1177/19322968221105288. Epub 2022 Jun 30.
This study examined the psychosocial impact of Loop, an open-source automated insulin dosing system that has emerged from the diabetes technology "Do-It-Yourself" (DIY) movement.
Subsamples of 239 adults, 115 children, and 243 parents completed data collection at the time of Loop initiation and 3 and 6 months later. Surveys collected demographic and clinical information, percent time-in-range, HbA1c, and validated psychosocial measures. Analyses included paired tests and McNemar's tests to compare psychosocial functioning at 3 and 6 months and regression models to assess baseline predictors of psychosocial outcomes at 6 months.
Adults reported significant improvements in diabetes distress ( = -7.20 < .001; = -8.01, < .001), sleep quality ( = 6.81, < .001; = 2.98, = .003), fear of hypoglycemia ( = -4.42, < .001; = -4.97, < .001), and hypoglycemia confidence ( = 8.68, < .001; = 7.96 < .001) from baseline to 3 months and 6 months, respectively. Significant improvements in parents' and children's sleep quality and parents' fear of hypoglycemia were also observed. Several baseline characteristics were associated with psychosocial outcomes at 6 months.
The current findings support the broad and sustained benefits of Loop across multiple aspects of psychosocial well-being. Advancement and dissemination of such technologies has the potential to improve mental and physiological health among people living with type 1 diabetes.
本研究考察了 Loop 的心理社会影响，Loop 是一种源自糖尿病技术“DIY”运动的开源自动化胰岛素给药系统。
在 Loop 启动时以及 3 个月和 6 个月后，239 名成年人、115 名儿童和 243 名父母的亚样本完成了数据收集。调查收集了人口统计学和临床信息、时间范围内的百分比、HbA1c 和经过验证的心理社会措施。分析包括配对 t 检验和 McNemar 检验，以比较 3 个月和 6 个月时的心理社会功能，以及回归模型，以评估 6 个月时心理社会结果的基线预测因素。
成年人报告称，糖尿病困扰（ = -7.20 <.001； = -8.01 <.001）、睡眠质量（ = 6.81 <.001； = 2.98 =.003）、低血糖恐惧（ = -4.42 <.001； = -4.97 <.001）和低血糖信心（ = 8.68 <.001； = 7.96 <.001）从基线到 3 个月和 6 个月分别显著改善。还观察到父母和儿童睡眠质量以及父母低血糖恐惧的显著改善。几个基线特征与 6 个月时的心理社会结果相关。
目前的研究结果支持 Loop 在心理社会福祉的多个方面的广泛和持续的益处。此类技术的进步和传播有可能改善 1 型糖尿病患者的心理健康和生理健康。
