Revista Latino-Americana de Enfermagem

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Review Article • Rev. Latino-Am. Enfermagem 34 • 2026 • https://doi.org/10.1590/1518-8345.8001.4852 linkcopy

Continuous Insulin Infusion System and self-care in Type 1 Diabetes Mellitus: scope review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective: to map the evidence available in the literature on self-care among people with type 1 diabetes mellitus using continuous insulin infusion systems.

Method: this is a scoping review based on the principles recommended by the JBI and the PRISMA guidelines for data extraction, conducted using ten databases and gray literature. The PCC strategy was used for data collection. Studies were selected after duplicates were removed and individual and paired assessments were conducted. Descriptive analysis and diagrams were used to present the results.

Results: an analysis of the 18 selected articles showed three self-care behaviors: glycemic management, insulin bolus, and carbohydrate counting. The factors influencing these behaviors were Knowledge, Freedom/flexibility, Sensor use, Context, and Responsibility.

Conclusion: the studies indicate that in-depth knowledge of self-care enables professionals to make better decisions about individualized treatment plans and enables people using the Continuous Insulin Infusion System to seek actions and information related to daily care for proper diabetes management. There is a need for future intervention studies to optimize self-care in this population.

Descriptors:
Insulin; Insulin Infusion Systems; Self Care; Self-Management; Knowledge; Diabetes Mellitus

(1) Identifies the self-care behaviors of people with DM1. (2) Analyzes the factors that influence self-care behaviors. (3) Helps professionals make decisions regarding individualized treatment plans. (4) Assists professionals in seeking actions and information related to daily care.

Stage	ECUS Strategy*
	P^†	C^‡	C^§
Extraction	People with type 1 diabetes mellitus	Self-Care	Insulin Infusion Systems
Conversion	Type 1 diabetes mellitus	Self-Care	Insulin Infusion Systems
Combination	Diabetes mellitus tipo 1	Self-Care; Self-Care; Self management	Insulin Infusion Systems; Insulin Pump
Construction	“Diabetes Mellitus Type 1” OR “Diabetes Mellitus, Type 1” OR “Diabetes, Type 1” OR “IDDM^\|\|” OR “Type 1 Diabetes” OR “Type 1 Diabetes Mellitus”	Self Care” OR “Self-Care”OR “Self-management”	“Insulin infusion systems” OR “Insulin pump”
Usage	“Diabetes Mellitus Type 1” OR “Diabetes Mellitus, Type 1” OR “Diabetes, Type 1” OR “IDDM” OR “Type 1 Diabetes” OR “Type 1 Diabetes Mellitus” AND “self care” OR “Self-care” OR “Self-management” AND “insulin infusion systems” OR “Insulin pump”

Articles	Author/Year	Title	Methodological approach/study design	Study population
A*1	Al Hayek, 2021¹⁶	Effectiveness of the freestyle libre 2 flash glucose monitoring system on diabetes-self-management practices and glycemic parameters among patients with type 1 diabetes using insulin pump	Quantitative/ prospective cohort	Adults with T1DM^† using CSII^‡
A*2	Brandão, et al., 2023¹⁷	Aplicativos para autogestão do diabetes tipo 1 em usuários de sistema de infusão contínua de insulina	Qualitative/ Integrative review	CSII^‡ users with T1DM^†
A*3	Faulds, et al., 2021¹⁸	Expect the unexpected: Adolescent and pre-teens’ experience of diabetes technology self-management	Mixed	Adolescents with T1DM† using CSII‡
A*4	Rytter, et al., 2023¹⁹	Associations between insulin pump self-management and HbA1c in type 1 diabetes	Mixed/Observational Study	Adults with T1DM^† using CSII^‡
A*5	Faulds, et al., 2022²⁰	Simulation platform development for diabetes and technology self-management	Mixed/Observational Study	Adults with T1DM^† using CSII^‡
A*6	Persson, et al., 2022²¹	‘Striving for freedom or remaining with what is well-known’: a focus-group study of self-management among people with type 1 diabetes who have suboptimal glycemic control despite continuous subcutaneous insulin infusion	Qualitative	Adults with T1DM^† using CSII^‡
A*7	Faulds, et al., 2021²²	State of the science: A scoping review and gap analysis of adolescent insulin pump self-management	Qualitative	Adolescents with T1DM^† using CSII^‡
A*8	Reidy, Foster, Rogers, 2020²³	A facilitated web-based self-management tool for people with type 1 diabetes using an insulin pump: intervention development using the behavior change wheel and theoretical domains framework	Qualitative	Adultos com DM1^† em uso do SICI^‡ e profissionais de saúde especialistas
A*9	O’Donnell, et al., 2021²⁴	Pump It Up! A randomized clinical trial to optimize insulin pump self-management behaviors in adolescents with type 1 diabetes	Mixed/ Non-blind randomized clinical trial	Adolescents with DM1^† using CSII^‡ and their parents
A*10	Quiró, et al., 2019²⁵	Experiences and real-life management of insulin pump therapy in adults with type 1 diabetes	Mixed/Cross-sectional study	Adults with T1DM^† using CSII^‡
A*11	Grando et al., 2017²⁶	Characterization of Exercise and Alcohol Self-Management Behaviors of Type 1 Diabetes Patients on Insulin Pump Therapy	Qualitative	Adults with T1DM^† using CSII^‡
A*12	Groat, et al., 2017²⁷	Self-Management Behaviors in Adults on Insulin Pump Therapy	Quantity/Cohort	Adults with T1DM^† using CSII^‡
A*13	Martyn-Nemeth, et al., 2017²⁸	Fear of hypoglycemia: Influence on glycemic variability and self-management behavior in young adults with type 1 diabetes	Quantitative/Prospective Study	Adults with T1DM^† using CSII^‡
A*14	Olinder, et al., 2011²⁹	Clarifying responsibility for self-management of diabetes in adolescents using insulin pumps--a qualitative study	Qualitative	Adolescents with T1DM^† using CSII^‡, parents, and pediatric diabetes nurse
A*15	Wilson, 2008³⁰	Barriers to effective communication between patients using insulin pump therapy technology to enable intensive diabetes self-management and the health professionals providing their diabetes care	Mixed	Adults with T1DM^† using CSII^‡
A*16	Berlin, et al., 2006³¹	Contextual Assessment of Problematic Situations Identified by Insulin Pump Using Adolescents and Their Parents	Qualitative	Adolescents with DM1^† using CSII^‡ and their parents
A*17	Ritholz, et al., 2007³²	Perceptions of Psychosocial Factors and the Insulin Pump	Qualitative	Adults with T1DM^† using CSII^‡
A*18	Weissberg-Benchell, et al., 2017³³	The use of Continuous Subcutaneous Insulin Infusion (CSII): parental and professional perceptions of self-care mastery and autonomy in children and adolescents	Qualitative	Parents of children and adolescents with T1DM^† using CSII^‡ and diabetes physicians

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