Clinician Experiences With Hybrid Closed Loop Insulin Delivery Systems in Veterans With Type 1 Diabetes: Qualitative Study.
Kara R Mizokami-StoutHolly M ThompsonKathryn HurrenVirginia LeoneGretchen A PiattJoyce M LeePradipta R RayMelissa J DeJonckheerePublished in: JMIR diabetes (2023)
Findings suggest that clinicians believe HCL systems have significant glycemic benefits but are not appropriate for all patients, especially those with cognitive impairment. HCL pump initiation is a multi-step process requiring an interdisciplinary team of health care clinicians to ensure patient and pump success. Furthermore, HCL systems improve clinician confidence in overall diabetes management.
Keyphrases
- type diabetes
- cognitive impairment
- palliative care
- healthcare
- glycemic control
- end stage renal disease
- ejection fraction
- newly diagnosed
- cardiovascular disease
- chronic kidney disease
- prognostic factors
- peritoneal dialysis
- mental health
- metabolic syndrome
- insulin resistance
- quality improvement
- case report
- patient reported outcomes
- health insurance