Summary
The availability of and access to technology for the management of diabetes has changed in recent times and a range of technology for monitoring glucose levels, such as continuous glucose monitoring, flash glucose monitoring, and self-management tools such as mobile phone apps, is used. Other devices, such as insulin pumps, have been available for the last few decades in Australia. There is a lack of comprehensive national data about the use of technology to manage diabetes and the impact of the technology on short-term and long-term diabetes-related complications, and the approval, access and distribution pathways for these technologies.
This report describes the data sources currently available for monitoring the use of technology in the management of diabetes; identifies gaps; and provides recommendations for future work. The report also briefly outlines the approval, access and distribution pathways for diabetes technology in Australia.
Summary
- Data gaps and future opportunities
- Approval, access and distribution pathways
1. Background
- Structure of this report
2. What is diabetes?
- Treatment and management of diabetes
- Glucose monitoring
- Insulin therapy
- Diabetes-related complications
3. Diabetes technology
- Continuous glucose monitoring
- Outcomes for people with type 1 diabetes
- Outcomes for people with type 2 diabetes
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Flash glucose monitoring
- Outcomes for people with type 1 diabetes
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Outcomes for people with type 2 diabetes
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Continuous subcutaneous insulin infusions
- Non-automated insulin pumps
- Automated insulin delivery systems
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Information technology
- Outcomes for people with type 1 diabetes
- Outcomes for people with type 2 diabetes
4. Approval, access and distribution pathways for diabetes devices
- Approval of diabetes devices
- Health technology assessment
- Access and funding of diabetes devices
5. Monitoring diabetes technology use in Australia
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Why is it important to monitor diabetes technology use?
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Key areas to monitor
- Devices used in the management of diabetes
- Number of users of diabetes technology
- Characteristics of the users of diabetes technology
- Experiences of the users of diabetes technologies
- Short-term and long-term diabetes complications
- Adverse events
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Data sources available to monitor diabetes technology use
- Administrative data sources
- Registry data sources
- Surveys
- Other data sources
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Data gaps
- Experiences of users
- Long-term diabetes-related complications
- Scope and coverage of data sources
6. Future opportunities and recommendations
- Baseline reporting
- Filling data gaps
- Data linkage
- Conclusion
End matter: Acknowledgments; Abbreviations; Glossary; References; List of tables; List of figures