title: Impact of new technologies on diabetes care.
abstract: Technologies for diabetes management, such as continuous subcutaneous insulin infusion (CSII) and continuous glucose monitoring (CGM) systems, have improved remarkably over the last decades. These developments are impacting the capacity to achieve recommended hemoglobin A1c levels and assisting in preventing the development and progression of micro- and macro vascular complications. While improvements in metabolic control and decreases in risk of severe and moderate hypoglycemia have been described with use of these technologies, large epidemiological international studies show that many patients are still unable to meet their glycemic goals, even when these technologies are used. This editorial will review the impact of technology on glycemic control, hypoglycemia and quality of life in children and youth with type 1 diabetes. Technologies reviewed include CSII, CGM systems and sensor-augmented insulin pumps. In addition, the usefulness of advanced functions such as bolus profiles, bolus calculators and threshold-suspend features will be also discussed. Moreover, the current editorial will explore the challenges of using these technologies. Indeed, despite the evidence currently available of the potential benefits of using advanced technologies in diabetes management, many patients still report barriers to using them. Finally this article will highlight the importance of future studies tailored toward overcome these barriers to optimizing glycemic control and avoiding severe hypoglycemia.
authors.affiliation: Elisa Giani, Gian Vincenzo Zuccotti, Department of Pediatrics, Ospedale dei Bambini-V. Buzzi, Università degli Studi di Milano, 20154 Milan, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Giani
authors.affiliation: Elisa Giani, Gian Vincenzo Zuccotti, Department of Pediatrics, Ospedale dei Bambini-V. Buzzi, Università degli Studi di Milano, 20154 Milan, Italy.
authors.forename: Andrea Enzo
authors.initials: AE
authors.lastname: Scaramuzza
authors.affiliation: Elisa Giani, Gian Vincenzo Zuccotti, Department of Pediatrics, Ospedale dei Bambini-V. Buzzi, Università degli Studi di Milano, 20154 Milan, Italy.
authors.forename: Gian Vincenzo
authors.initials: GV
authors.lastname: Zuccotti
keywords: Diabetes; Glycemic control; Management; Outcomes; Quality of life; Technology