Improvement of Care & Outcome
Over the years insulin pumps as a means of administrating insulin to people with diabetes (PWDs) have yielded increasingly better results and more and more PWDs are using insulin pumps. Despite this, there is still a proportion of PWDs who eventually discontinue use of insulin pumps, due to various reasons. Earlier studies on insulin pump discontinuation have mostly focused on glycemic outcomes, hypoglycemia and quality of life, but not so much on the characteristics of PWDs who discontinue insulin pump use. This review aimed to include the most recent rates of insulin pump discontinuation and identify reasons for and factors associated with discontinuation among people with T1D.
The databases Embase, MEDLINE, PsycINFO and CINAHL were searched between 2000 and 2020, with search terms related to 1) type 1 diabetes, 2) discontinuation and 3) continuous subcutaneous insulin infusion. Of a total of 826 eligible publications, 67 were included after applying the in- and exclusion criteria. Data were then synthesized into themes for the following variables:
Concluding, the authors state