• Lancet Diabetes Endocrinol · Feb 2018

    Review

    Distal technologies and type 1 diabetes management.

    • Danny C Duke, Samantha Barry, David V Wagner, Jane Speight, Pratik Choudhary, and Michael A Harris.
    • Department of Pediatrics, Oregon Health and Science University, Portland, OR, USA. Electronic address: duke@ohsu.edu.
    • Lancet Diabetes Endocrinol. 2018 Feb 1; 6 (2): 143-156.

    AbstractType 1 diabetes requires intensive self-management to avoid acute and long-term health complications. In the past two decades, substantial advances in technology have enabled more effective and convenient self-management of type 1 diabetes. Although proximal technologies (eg, insulin pumps, continuous glucose monitors, closed-loop and artificial pancreas systems) have been the subject of frequent systematic and narrative reviews, distal technologies have received scant attention. Distal technologies refer to electronic systems designed to provide a service remotely and include heterogeneous systems such as telehealth, mobile health applications, game-based support, social platforms, and patient portals. In this Review, we summarise the empirical literature to provide current information about the effectiveness of available distal technologies to improve type 1 diabetes management. We also discuss privacy, ethics, and regulatory considerations, issues of global adoption, knowledge gaps in distal technology, and recommendations for future directions.Copyright © 2018 Elsevier Ltd. All rights reserved.

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