The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.
Nonmetabolic Complications of Continuous Subcutaneous Insulin Infusion: A Patient Survey
Open accessAbstract
Background Little is known about the frequencies and types of nonmetabolic complications occurring in type 1 diabetes patients being treated by modern insulin pump therapy (continuous subcutaneous insulin infusion [CSII]), when recorded by standardized questionnaire rather than clinical experience. Subjects and methods A self-report questionnaire was completed by successive subjects with type 1 diabetes attending an insulin pump clinic, and those with a duration of CSII of ≥6 months were selected for analysis (n=92). Questions included pump manufacturer, insulin, infusion set type and duration of use, frequency of infusion set and site problems, pump malfunctions, and patient-related problems such as weight change since starting CSII. Results Median (range) duration of CSII was 3.3 (0.5-32.0) years, and mean ± SD duration of infusion set use was 3.2 ± 0.7 (range 2-6) days. The commonest infusion set problems were kinking (64.1% of subjects) and blockage (54.3%). Blockage was associated with >3 days of use of infusion sets plus lispro insulin in the pump (relative risk [95% confidence interval], 1.71 [1.03-2.85]; P=0.07). The commonest infusion site problem was lipohypertrophy (26.1%), which occurred more often in those with long duration of CSII (4.8 [2.38-9.45] vs. 3.0 [1.50-4.25] years; P=0.01). Pump malfunction had occurred in 48% of subjects (43% in the first year of CSII), with "no delivery," keypad, and battery problems commonly occurring. Although some patients reporte…
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“The success of insulin pump therapy may further be dependent on the robustness of insertion methods to avoid issues such as catheter kinking and therefore failed delivery of insulin into the tissue.”
From Detailed Analysis of Insulin Absorption Variability and the Tissue Response to Continuous Subcutaneous Insulin Infusion Catheter Implantation in Swine (2017) · cites this paper as [18]
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“This rate was lower than the self-reported rates of 17.4%16 and 28%17 by individuals who completed survey reporting on a prior year of standard IIS use.”
From Evaluation of Extended Infusion Set Performance in Adults with Type 1 Diabetes: Infusion Set Survival Rate and Glycemic Outcomes from a Pivotal Trial (2022) · cites this paper as [16]
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Self-citationUse of Insulin Pump Therapy in the Pediatric Age-Group
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Self-citationContinuous Subcutaneous Insulin Infusion Versus Multiple Daily Injections
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Dermatological Complications of Continuous Subcutaneous Insulin Infusion in Children and Adolescents
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- National Institute for Health and Clinical Excellence: Continuous Subcutaneous Insulin Infusion for the Treatment of Diabetes Mellitus. Technology Appraisal Guidance 151 (Review of Technology Appraisal Guidance 57). London: NICE 2008.
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Metadata
- Authors
- Pickup, J. C., Yemane, N., Brackenridge, A., & Pender, S.
- Affiliations
- Guy's Hospital (GB)
- Guy's and St Thomas' NHS Foundation Trust (GB)
- Corresponding author
- Pickup, John C.
- Venue
- Diabetes Technology & Therapeutics
- Publisher
- SAGE Publications
- Published
- 2014-03
- Volume
- 16
- Issue
- 3
- Pages
- 145-149
- ISSN
- 1520-9156 (ISSN-L)
- 1557-8593
- PMC
- PMC3934434
- OpenAlex
- W2094458427
- Cited by
- 123
- References
- 22
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 9 · 2023: 11 · 2022: 11 · 2021: 10 · 2020: 3 · 2019: 20 · 2018: 18 · 2017: 10 · 2016: 15 · 2015: 6 · 2014: 1
- FWCI
- 5.78
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Diabetes Technology & Therapeutics (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Eli Lilly and Company
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Physical Sciences › Engineering › Biomedical Engineering › Intravenous Infusion Technology and Safety
- Keywords
- insulin pump therapy, type 1 diabetes, lipohypertrophy, pump failure, insulin lispro, weight change, patient survey
- MeSH terms
- Adipose Tissue, Adult, Diabetes Mellitus, Type 1, Female, Humans, Hypertrophy, Hypoglycemic Agents, Injections, Subcutaneous, Insulin, Insulin Infusion Systems, Male, Surveys and Questionnaires, Risk Factors, Weight Gain, Prevalence, Odds Ratio, Treatment Outcome, Health Care Surveys, Self Report
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