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The impact of using a closed‐loop system on food choices and eating practices among people with Type 1 diabetes: a qualitative study involving adults, teenagers and parents

AIMS: We explored whether, how and why moving onto and using a hybrid day‐and‐night closed‐loop system affected people's food choices and dietary practices to better understand the impact of this technology on everyday life and inform recommendations for training and support given to future use...

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Autores principales: Lawton, J., Blackburn, M., Rankin, D., Allen, J., Campbell, F., Leelarathna, L., Tauschmann, M., Thabit, H., Wilinska, M. E., Hovorka, R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510609/
https://www.ncbi.nlm.nih.gov/pubmed/30575114
http://dx.doi.org/10.1111/dme.13887
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author Lawton, J.
Blackburn, M.
Rankin, D.
Allen, J.
Campbell, F.
Leelarathna, L.
Tauschmann, M.
Thabit, H.
Wilinska, M. E.
Hovorka, R.
author_facet Lawton, J.
Blackburn, M.
Rankin, D.
Allen, J.
Campbell, F.
Leelarathna, L.
Tauschmann, M.
Thabit, H.
Wilinska, M. E.
Hovorka, R.
author_sort Lawton, J.
collection PubMed
description AIMS: We explored whether, how and why moving onto and using a hybrid day‐and‐night closed‐loop system affected people's food choices and dietary practices to better understand the impact of this technology on everyday life and inform recommendations for training and support given to future users. METHODS: Twenty‐four adults, adolescents and parents were interviewed before commencing use of the closed‐loop system and following its 3‐month use. Data were analysed thematically and longitudinally. RESULTS: While participants described preparing and/or eating similar meals to those consumed prior to using a closed‐loop, many described feeling more normal and less burdened by diabetes in dietary situations. Individuals also noted how the use of this technology could lead to deskilling (less precise carbohydrate counting) and less healthy eating (increased snacking and portion sizes and consumption of fatty, energy‐dense foods) because of the perceived ability of the system to deal with errors in carbohydrate counting and address small rises in blood glucose without a corrective dose needing to be administered. CONCLUSIONS: While there may be quality‐of‐life benefits to using a closed‐loop, individuals might benefit from additional nutritional and behavioural education to help promote healthy eating. Refresher training in carbohydrate counting may also be necessary to help ensure that users are able to undertake diabetes management in situations where the technology might fail or that they take a break from using it.
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spelling pubmed-65106092019-06-17 The impact of using a closed‐loop system on food choices and eating practices among people with Type 1 diabetes: a qualitative study involving adults, teenagers and parents Lawton, J. Blackburn, M. Rankin, D. Allen, J. Campbell, F. Leelarathna, L. Tauschmann, M. Thabit, H. Wilinska, M. E. Hovorka, R. Diabet Med Research Articles AIMS: We explored whether, how and why moving onto and using a hybrid day‐and‐night closed‐loop system affected people's food choices and dietary practices to better understand the impact of this technology on everyday life and inform recommendations for training and support given to future users. METHODS: Twenty‐four adults, adolescents and parents were interviewed before commencing use of the closed‐loop system and following its 3‐month use. Data were analysed thematically and longitudinally. RESULTS: While participants described preparing and/or eating similar meals to those consumed prior to using a closed‐loop, many described feeling more normal and less burdened by diabetes in dietary situations. Individuals also noted how the use of this technology could lead to deskilling (less precise carbohydrate counting) and less healthy eating (increased snacking and portion sizes and consumption of fatty, energy‐dense foods) because of the perceived ability of the system to deal with errors in carbohydrate counting and address small rises in blood glucose without a corrective dose needing to be administered. CONCLUSIONS: While there may be quality‐of‐life benefits to using a closed‐loop, individuals might benefit from additional nutritional and behavioural education to help promote healthy eating. Refresher training in carbohydrate counting may also be necessary to help ensure that users are able to undertake diabetes management in situations where the technology might fail or that they take a break from using it. John Wiley and Sons Inc. 2019-01-29 2019-06 /pmc/articles/PMC6510609/ /pubmed/30575114 http://dx.doi.org/10.1111/dme.13887 Text en © 2018 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Research Articles
Lawton, J.
Blackburn, M.
Rankin, D.
Allen, J.
Campbell, F.
Leelarathna, L.
Tauschmann, M.
Thabit, H.
Wilinska, M. E.
Hovorka, R.
The impact of using a closed‐loop system on food choices and eating practices among people with Type 1 diabetes: a qualitative study involving adults, teenagers and parents
title The impact of using a closed‐loop system on food choices and eating practices among people with Type 1 diabetes: a qualitative study involving adults, teenagers and parents
title_full The impact of using a closed‐loop system on food choices and eating practices among people with Type 1 diabetes: a qualitative study involving adults, teenagers and parents
title_fullStr The impact of using a closed‐loop system on food choices and eating practices among people with Type 1 diabetes: a qualitative study involving adults, teenagers and parents
title_full_unstemmed The impact of using a closed‐loop system on food choices and eating practices among people with Type 1 diabetes: a qualitative study involving adults, teenagers and parents
title_short The impact of using a closed‐loop system on food choices and eating practices among people with Type 1 diabetes: a qualitative study involving adults, teenagers and parents
title_sort impact of using a closed‐loop system on food choices and eating practices among people with type 1 diabetes: a qualitative study involving adults, teenagers and parents
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510609/
https://www.ncbi.nlm.nih.gov/pubmed/30575114
http://dx.doi.org/10.1111/dme.13887
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