@ARTICLE{Ucieklak_Damian_Habits_2022,
 author={Ucieklak, Damian and Mrozińska, Sandra and Wojnarska, Aleksandra and Małecki, Maciej T. and Klupa, Tomasz and Matejko, Bartłomiej},
 volume={Vol. 62},
 number={No 4},
 journal={Folia Medica Cracoviensia},
 pages={5-23},
 howpublished={online},
 year={2022},
 publisher={Oddział PAN w Krakowie; Uniwersytet Jagielloński – Collegium Medicum},
 abstract={Introduction: Proper use of insulin infusion sets (IIS) plays an important role in pump therapy of patients with type 1 diabetes mellitus (T1DM). We assessed the habits associated with the use of IIS in patients with T1DM treated with insulin pump. Materials and Methods: This study included 79 T1DM patients who were examined for the presence of lipohypertrophy (LH) and retrained for proper IIS use. They completed a standard ques-tionnaire regarding IIS at the time of study entry and at the follow-up. Results: At baseline, most of the patients declared to have been using a plastic cannula (n = 68; 86.1%), changing the infusion set regularly (n = 65; 82.3%), and placing the infusion sets on the abdomen wall (n = 68; 86.1%). The most common rotation habit was the “curve pattern” on both sides of the umbilicus (n = 16; 20.3%). After a median of 23 weeks (IQR 20–34), 58 patients were available for the follow-up. A rise in the proportion of patients who declared to change IIS regularly (n = 48; 82.8% vs. n = 57; 98.3%, p = 0.016), change IIS every 2 to 3 days (n = 27; 46.6% vs. n = 35; 60.3%, p = 0.043), use “crisscross” rotation (n = 5; 8.8% vs. n = 12; 21.4%, p = 0.027) was observed. There were less patients reporting not having repeatable rotation manner (n = 15; 26.3% vs. n = 2; 5.4%, p = 0.009). Conclusions: A substantial proportion of T1DM patients on pump therapy declare that they do not follow the recommended principles of IIS use. The intervention consisting of LH assessment and retrain-ing of proper use of IIS might be effective in improving patient compliance.},
 type={Article},
 title={Habits related to the use of insulin infusion set in patients with type 1 diabetes on pump therapy — the effect of the educational intervention},
 URL={http://www.czasopisma.pan.pl/Content/126355/PDF/2022-04-FMC-01.pdf},
 doi={10.24425/fmc.2022.144079},
 keywords={type 1 diabetes, pump therapy, insulin infusion set},
}