First International Survey on Diabetes Providers’ Assessment of Skin Reactions in Youth With Type 1 Diabetes Using Technological Devices

Author:

Passanisi Stefano1ORCID,Berg Anna Korsgaard2,Chobot Agata3,Dos Santos Tiago Jeronimo4,Piona Claudia Anita5,Messer Laurel6ORCID,Lombardo Fortunato1,

Affiliation:

1. Department of Human Pathology in Adult and Developmental Age “Gaetano Barresi,” University of Messina, Messina, Italy

2. Copenhagen University Hospital, Steno Diabetes Center Copenhagen, Herlev, Denmark

3. Department of Pediatrics, Institute of Medical Sciences, University of Opole, Opole, Poland

4. Pediatric Unit, Vithas Almería, Instituto Hispalense de Pediatría, Almería, Spain

5. Pediatric Diabetes and Metabolic Disorders Unit, Regional Center for Pediatric Diabetes, University City Hospital of Verona, Verona, Italy

6. Barbara Davis Center for Diabetes, University of Colorado Anschutz, Aurora, CO, USA

Abstract

Background: Advances in diabetes technological devices led to optimization of diabetes care; however, long-lasting skin exposure to devices may be accompanied by an increasing occurrence of cutaneous reactions. Methods: We used an open-link web-based survey to evaluate diabetes-care providers’ viewpoint on prevalence, management practices, and knowledge related to skin reactions with the use of diabetes technological devices. A post hoc analysis was applied to investigate differences in the level of awareness on this topic in relation to the experience in diabetes technology. Results: One hundred twenty-five responses from 39 different countries were collected. Most respondents (69%) routinely examine patients’ skin at each visit. All the preventive measures are not clear and, mainly, homogenously put into clinical practice. Contact dermatitis was the most frequently reported cutaneous complication due to diabetes devices, and its most common provocative causes are not yet fully known by diabetes-care providers. Almost half of the respondents (42%) had discussed the presence of harmful allergens contained in adhesives with device manufacturers. There is general agreement on the need to strengthen knowledge on dermatological complications. Conclusions: Although diabetes-care providers are quite aware of the chance to develop skin reactions in people with diabetes using technological devices, there are still some unmet needs. Large follow-up studies and further dissemination tools are awaited to address the gaps revealed by our survey.

Publisher

SAGE Publications

Subject

Biomedical Engineering,Bioengineering,Endocrinology, Diabetes and Metabolism,Internal Medicine

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