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1 型糖尿病青少年及其父母对 CamAPS FX 闭环系统的使用体验。

Lived experience of CamAPS FX closed loop system in youth with type 1 diabetes and their parents.

机构信息

Stanford University School of Medicine, Stanford Diabetes Research Center, Stanford, California, USA.

Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.

出版信息

Diabetes Obes Metab. 2022 Dec;24(12):2309-2318. doi: 10.1111/dom.14815. Epub 2022 Aug 8.

Abstract

AIM

To examine changes in the lived experience of type 1 diabetes after use of hybrid closed loop (CL), including the CamAPS FX CL system.

MATERIALS AND METHODS

The primary study was conducted as an open-label, single-period, randomized, parallel design contrasting CL versus insulin pump (with or without continuous glucose monitoring). Participants were asked to complete patient-reported outcomes before starting CL and 3 and 6 months later. Surveys assessed diabetes distress, hypoglycaemia concerns and quality of life. Qualitative focus group data were collected at the completion of the study.

RESULTS

In this sample of 98 youth (age range 6-18, mean age 12.7 ± 2.8 years) and their parents, CL use was not associated with psychosocial benefits overall. However, the subgroup (n = 12) using the CamAPS FX system showed modest improvements in quality of life and parent distress, reinforced by both survey (p < .05) and focus group responses. There were no negative effects of CL use reported by study participants.

CONCLUSIONS

Closed loop use via the CamAPS FX system was associated with modest improvements in aspects of the lived experience of managing type 1 diabetes in youth and their families. Further refinements of the system may optimize the user experience.

摘要

目的

研究使用混合闭环(CL)后 1 型糖尿病患者体验的变化,包括 CamAPS FX CL 系统。

材料和方法

主要研究采用开放标签、单周期、随机、平行设计,对比 CL 与胰岛素泵(带或不带连续血糖监测)。参与者在开始 CL 前及 3 个月和 6 个月后需完成患者报告的结局。调查评估糖尿病困扰、低血糖担忧和生活质量。研究结束时收集定性焦点小组数据。

结果

在这 98 名青少年(年龄 6-18 岁,平均年龄 12.7±2.8 岁)及其父母的样本中,CL 使用总体上与心理社会获益无关。然而,使用 CamAPS FX 系统的亚组(n=12)在生活质量和父母困扰方面显示出适度改善,这一点同时得到了调查(p<0.05)和焦点小组结果的支持。研究参与者没有报告 CL 使用的负面效果。

结论

通过 CamAPS FX 系统使用闭环与改善青少年及其家庭管理 1 型糖尿病的生活体验的某些方面有关。进一步改进系统可能会优化用户体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/567d/9804666/15245997f21e/DOM-24-2309-g001.jpg

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