xAnts

Living with diabetes is a constant balancing act. While advancements in diabetes technology – continuous glucose monitors (CGMs), insulin pumps, and smart pens – offer incredible opportunities for improved management and a better quality of life, they also introduce a new layer of complexity and potential stress. As healthcare professionals in Ireland, it’s crucial we acknowledge and address what’s increasingly being recognised as 'diabetes device distress'.

What is Diabetes Device Distress?

Diabetes device distress isn't simply about a malfunctioning device. It's a psychological and emotional burden arising from the reliance on, and potential frustrations with, diabetes technology. It can manifest as anxiety, overwhelm, a feeling of being controlled by the device, or even a reluctance to use the technology altogether, despite its potential benefits. This distress can significantly impact a patient’s mental wellbeing, adherence to treatment, and ultimately, their overall health.

Why is it on the Rise?

The increasing prevalence of diabetes, coupled with the rapid evolution of diabetes technology, is contributing to this phenomenon. While these devices are designed to simplify diabetes management, the sheer volume of data, alerts, and settings can be overwhelming. Furthermore, issues like connectivity problems, sensor failures, pump malfunctions, and the constant need for calibration and maintenance can contribute to significant frustration and anxiety. The pressure to maintain 'perfect' readings, fuelled by data transparency, can also lead to a sense of failure and increased stress.

The Clinician's Role: Asking the Right Questions

The first and most important step is to actively inquire about device distress. Don't assume that because a patient is using a CGM or pump, they are comfortable and confident with it. Specifically ask: 'Are you finding your diabetes technology helpful and manageable, or are you feeling overwhelmed or stressed by it?' This direct question opens the door for honest and open communication.

Guiding Patients Through Device Distress

Once device distress is identified, a tailored approach is essential. Here’s how clinicians can help:

• Acknowledge and Validate: Let the patient know that their feelings are valid and that device distress is a common experience.
• Simplify Technology: Review the device settings and features with the patient, streamlining the system and removing unnecessary complexities.
• Provide Education and Training: Ensure the patient has a thorough understanding of their device and how to troubleshoot common issues. Peer support groups and diabetes education programs can also be invaluable.
• Address Technical Issues Promptly: Work with device manufacturers and support teams to resolve any technical problems quickly and efficiently.
• Focus on the 'Why': Remind the patient of the benefits of using technology – improved glucose control, reduced risk of complications, and a better quality of life.
• Mental Health Support: Refer patients to mental health professionals if device distress is significantly impacting their wellbeing. The HSE offers various mental health services across Ireland.

Looking Ahead: A Holistic Approach

Addressing diabetes device distress requires a shift towards a more holistic approach to diabetes care. We need to move beyond simply focusing on glucose numbers and acknowledge the emotional and psychological impact of living with diabetes and relying on technology. By proactively addressing device distress, we can empower patients to effectively manage their diabetes, improve their mental wellbeing, and ultimately, live healthier, happier lives. Continuous education for healthcare professionals on recognising and managing device distress is also a critical step forward for diabetes care in Ireland.