Preserving Skin Integrity with Chronic Device Use in Diabetes.

Abstract:

:Skin integrity and diabetes device placement are ongoing concerns for people with diabetes who utilize continuous glucose monitors (CGMs) and continuous subcutaneous insulin infusion pumps. This is especially significant for individuals with skin sensitivities, pediatric patients, and those who use devices chronically. Dermatological complications are often cited as a barrier to device use and a reason for device discontinuation. Furthermore, it is a frequent topic of discussion in diabetes follow-up visits, although little evidence-based literature exists to guide providers in managing skin integrity issues. The purpose of this article is to review current literature related to the prevalence of dermatological issues with insulin pumps and CGM, discuss published solutions to skin irritation, and to share the consolidated experience of our large academic diabetes clinic to address placement, prophylactic skin care, adhesives, removal, and skin healing with diabetes device use. Recommendations for targeted studies, increased surveillance, and development of new adhesive compounds are suggested to reduce the burden of device wear for management of diabetes.

journal_name

Diabetes Technol Ther

authors

Messer LH,Berget C,Beatson C,Polsky S,Forlenza GP

doi

10.1089/dia.2018.0080

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

S254-S264

issue

S2

eissn

1520-9156

issn

1557-8593

journal_volume

20

pub_type

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