Patient experiences of continuous glucose monitoring and sensor-augmented insulin pump therapy for diabetes: a systematic review of qualitative studies
Open accessAbstract
AIMS: Blood glucose control is central to the management of diabetes, and continuous glucose monitoring (CGM) improves glycemic control. We aimed to describe the perspectives of people with diabetes using CGM. MATERIALS AND METHODS: We performed a systematic review of qualitative studies. RESULTS: Fifty-four studies involving 1845 participants were included. Six themes were identified: gaining control and convenience (reducing pain and time, safeguarding against complications, achieving stricter glucose levels, and sharing responsibility with family); motivating self-management (fostering ownership, and increasing awareness of glycemic control); providing reassurance and freedom (attaining peace of mind, and restoring social participation); developing confidence (encouraged by the endorsement of others, gaining operational skills, customizing settings for ease of use, and trust in the device); burdened with device complexities (bewildered by unfamiliar technology, reluctant to rely on algorithms, overwhelmed by data, frustrated with malfunctioning and inaccuracy, distressed by alerts, and bulkiness of machines interfering with lifestyle); and excluded by barriers to access (constrained by cost, lack of suppliers). CONCLUSIONS: CGM can improve self-management and confidence in patients managing diabetes. However, the technical issues, uncertainty in readings, and cost may limit the uptake. Education and training from the health professionals may help to reduce the practical and psychological burden for better patient outcomes.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
CGM can improve self-management and confidence in patients managing diabetes.
“CGM can improve self-management and confidence in patients managing diabetes.”
From Digital diabetes management technologies for type 2 diabetes: a systematic review of home-based care interventions (2025) · cites this paper as [14]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 90 · Cited by 63
Research works printed but not linked: 1
- [35]Dutil I. Adoption of Insulin Pumps and Continuous Glucose Monitors: Patient Perceptions of Utility and Usability 2014. Masters Thesis. Clinical Engineering Institute of Biomaterials and Biomedical Engineering University of Toronto [last access 8 August 2022].
- Authors
- Natale, P., Chen, S., Chow, C. K., Cheung, N. W., Martinez‐Martin, D., Caillaud, C., Scholes‐Robertson, N., Kelly, A., Craig, J. C., Strippoli, G., & Jaure, A.
- Affiliations
- University of Foggia (IT)
- Sydney School of Public Health The University of Sydney Sydney Australia
- The University of Sydney (AU)
- The University of Sydney Nano Institute (Sydney Nano) The University of Sydney Sydney Australia
- Liverpool Hospital (AU)
- Flinders University (AU)
- Corresponding author
- Natale, Patrizia
- ORCID
- Venue
- Journal of Diabetes
- Publisher
- Wiley
- Published
- 2023-08-08
- Volume
- 15
- Issue
- 12
- Pages
- 1048-1069
- ISSN
- 1753-0393 (ISSN-L)
- 1753-0407
- PMC
- PMC10755613
- OpenAlex
- W4385659547
- Cited by
- 63
- References
- 90
- Citations by year
- 2026: 22 · 2025: 31 · 2024: 8 · 2023: 2
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Diabetes (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- University of Sydney
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- continuous glucose monitoring, sensor-augmented insulin pump therapy, diabetes self-management, patient experience, glycemic control, device complexity, cost barriers, psychological burden, family involvement, patient confidence, diabetes technology adoption
- MeSH terms
- Continuous Glucose Monitoring, Blood Glucose, Diabetes Mellitus, Type 1, Humans, Hyperinsulinism, Hypoglycemic Agents, Insulin, Insulin Infusion Systems, Quality of Life, Blood Glucose Self-Monitoring, Insulins, Patient Outcome Assessment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
