title: Clinical evaluation of the use of a multifunctional remotely controlled insulin pump: multicenter observational study.
abstract: Current insulin pumps now feature advanced functions for calculating insulin dosages, delivering insulin and analyzing data, however, the perceived usefulness of these functions in clinical settings has not been well studied. We assessed the use and patient perceptions of an insulin delivery system (Accu-Chek® Combo, Roche Diagnostics, Mannheim, Germany) that combines an insulin pump and a handheld multifunctional blood glucose meter with integrated remote control functions. This prospective, observational, multicenter study enrolled 74 type 1 diabetes patients within 13 weeks after starting use of the pump system. At 4 to 24 weeks, investigators collected usage data from the latest 14-day period. Seventy-two patients completed the evaluation, aged 39 ± 15 years, diabetes duration 16 ± 13 years, HbA1c 8.3 ± 1.6%. At follow-up, 62 (86.1%) patients used the remote control for ≥50% of all boluses, 20 (27.8%) used the bolus advisor for ≥50% of all boluses, and 42 (58.3%) viewed at least 1 of the e-logbook reports. More than 95% of users appraised the functions as easy-to-use and useful; median scores from VAS (0 = useless to 100 = indispensable) ranged from 72 to 85. A high percentage of study patients used the system's advanced features, especially the remote control feature for bolusing. Overall, patients assessed the functions as useful and easy to use. Results support the implementation of these smart capabilities in further insulin pump developments.
authors.affiliation: Roche Diagnostics France, Meylan Cedex, France robert.boizel@roche.com.
authors.forename: Robert
authors.initials: R
authors.lastname: Boizel
authors.affiliation: Hopitaux Universitaires de Strasbourg, Cedex, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Pinget
authors.affiliation: Groupement Hospitalier Eaubonne Montmorency, Eaubonne, France.
authors.forename: Karim
authors.initials: K
authors.lastname: Lachgar
authors.affiliation: CGParkin Communications, Inc, Boulder City, NV, USA.
authors.forename: Christopher G
authors.initials: CG
authors.lastname: Parkin
authors.affiliation: Centre Hospitalier de Châlons-en-Champagne, Cedex France.
authors.forename: Hervé
authors.initials: H
authors.lastname: Grulet
authors.affiliation: Clinique de la Miséricorde, Caen, France.
authors.forename: Françoise
authors.initials: F
authors.lastname: Guillon-Metz
authors.affiliation: Roche Diagnostics Deutschland GmbH, Mannheim, Germany.
authors.forename: Joerg
authors.initials: J
authors.lastname: Weissmann
mesh_terms: D000328:Adult; D015190:Blood Glucose Self-Monitoring / Q000295:instrumentation*; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage; D007328:Insulin / Q000008:administration & dosage; D007332:Insulin Infusion Systems; D008297:Male; D012371:Robotics / Q000295:instrumentation*
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin
keywords: bolus advisor; continuous subcutaneous insulin infusion; insulin pump therapy; remote control; type 1 diabetes
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