Vnitr Lek 2024, 70(1):E3-E7 | DOI: 10.36290/vnl.2024.012

Advanced technologies in medicine: experts' views on prescribing a "closed-loop insulin pump/sensor" to a patient with advanced diabetic complications and a history of non-adherence to treatment - a qualitative study

Ema Povolná1, Pavlína Krollová1, Lucia Bučková1, Jana Urbanová2, Svatava Krejčová3, Juraj Michalec1, Ludmila Brunerová2, Adina Večeřová1, Vratislav Blažek1, Jan Brož1
1 Interní klinika 2. LF UK a FN Motol, Praha
2 Interní klinika 3. LF UK a FNKV, Praha
3 Oddělení Klinické psychologie, FN Motol, Praha

A case study of a complicated patient with type 1 diabetes (reduced adherence to treatment, dialysis programme, unilateral amaurosis, poor social background) served as a basis for eight respondents of a qualitative study to consider whether modern hybrid closed-loop therapy can help similar patients and how to work with them further. Emphasis on patient motivation, involvement of the close family in care, selection of an appropriate device, good quality step-by-step education, increased frequency of check-ups at the beginning of therapy, and regular assessment of treatment progress were mentioned as essential elements for effective treatment.

Keywords: diabetes mellitus, hybrid close loop, adherence, motivation.

Accepted: February 23, 2024; Published: February 26, 2024  Show citation

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Povolná E, Krollová P, Bučková L, Urbanová J, Krejčová S, Michalec J, et al.. Advanced technologies in medicine: experts' views on prescribing a "closed-loop insulin pump/sensor" to a patient with advanced diabetic complications and a history of non-adherence to treatment - a qualitative study. Vnitr Lek. 2024;70(1):E3-7. doi: 10.36290/vnl.2024.012.
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