Current Diabetes Reports

, Volume 12, Issue 6, pp 711–720 | Cite as

Quality of Life and Technology: Impact on Children and Families With Diabetes

  • Masakazu Hirose
  • Elizabeth A. Beverly
  • Katie WeingerEmail author
Psychosocial Aspects (K Hood, Section Editor)


Ensuring quality of life (QOL) while maintaining glycemic control within targets is an important challenge in type 1 and type 2 diabetes treatment. For children with diabetes, QOL includes enjoying meals, feeling safe in school, and perceiving positive, supportive relationships with parents, siblings, and friends. Yet many treatment-related and psychosocial barriers can interfere with a child’s QOL and their ability to manage diabetes effectively. Diabetes management also imposes considerable lifestyle demands that are difficult and often frustrating for children to negotiate at a young age. Recent advances in diabetes medications and technologies have improved glycemic control in children with diabetes. Two widely used technologies are the insulin pump and continuous glucose monitoring (CGM) system. These technologies provide patients with more flexibility in their daily life and information about glucose fluctuations. Several studies report improvements in glycemic control in children with type 1 diabetes using the insulin pump or sensor-augmented pump therapy. Importantly, these technologies may impact QOL for children and families with diabetes, although they are rarely used or studied in the treatment of children with type 2 diabetes. Further, emerging closed loop and web- and phone-based technologies have great potential for supporting diabetes self-management and perhaps QOL. A deeper understanding and appreciation of the impact of diabetes technology on children’s and parents’ QOL is critical for both the medical and psychological care of diabetes. Thus, the purpose of this review is to discuss the impact of new diabetes technologies on QOL in children, adolescents and families with type 1 diabetes.


Adolescents Children Quality of life Type 1 diabetes Continuous glucose monitoring Continuous subcutaneous insulin infusion Insulin pump Technology 



This work was partially supported by National Institutes of Health (NIH) grant R01 DK60115 and the NIH Training Grant No. T32 DK007260.


No potential conflicts of interest relevant to this article were reported.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Masakazu Hirose
    • 1
    • 2
  • Elizabeth A. Beverly
    • 1
    • 2
  • Katie Weinger
    • 1
    • 2
    Email author
  1. 1.Clinical, Behavioral and Outcomes ResearchJoslin Diabetes CenterBostonUSA
  2. 2.Harvard Medical SchoolBostonUSA

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