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Endocrinol Metab Clin North Am. 2020 Mar;49(1):143-155. doi: 10.1016/j.ecl.2019.10.003. Epub 2019 Dec 9.

Psychosocial Aspects of Diabetes Technology: Adult Perspective.

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Behavioral Diabetes Institute, 5405 Oberlin Drive, Suite 100, San Diego, CA 92121, USA; University of California, San Diego, San Diego, CA, USA. Electronic address:


The success of diabetes technologies depends on the attitudes and behavior of the individuals who choose to adopt them. Real-time continuous glucose monitoring, continuous subcutaneous insulin infusion, and sensor-augmented pump systems may positively affect diabetes-related quality of life (QOL), although the influence on QOL outcomes seems to be modest and the results from randomized controlled trials are limited and controversial. In contrast, more consistently positive QOL-related responses are apparent from observational data. The newer generations of devices hold the promise for more strongly enhancing diabetes-related QOL. Appropriate training and ongoing support are likely to be the key to successful uptake.


Adults; CGM; CSII; Psychosocial; Technology


Conflict of interest statement

Disclosure The author has served as a consultant for Dexcom, Insulet and Abbott Diabetes Care.

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