{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T06:18:05Z","timestamp":1779344285491,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Skin reactions due to technological devices pose a significant concern in the management of type 1 diabetes (T1D). This multicentric, comparative cross-sectional study aimed to assess the psychological impact of device-related skin issues on youths with T1D and their parents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Participants with skin reactions were matched in a 1:1 ratio with a control group. Diabetes-related emotional distress was evaluated using the Problem Areas in Diabetes\u2013Teen version (PAID-T) for participants aged 11 to 19 years and the Problem Areas in Diabetes\u2013Parent Revised version (PAID-PR) completed by parents. In addition, glucose control was assessed through glycated hemoglobin (HbA\n                      <jats:sub>1c<\/jats:sub>\n                      ) values and continuous glucose monitoring (CGM) metrics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 102 children and adolescents were consecutively recruited. Adolescents with skin issues had higher PAID-T scores compared to those without (79.6 \u00b1 21.1 vs 62 \u00b1 16.8;\n                      <jats:italic>P<\/jats:italic>\n                      = .004). Parents of youths with skin reactions also reported higher PAID-PR scores than the control group (34.0 \u00b1 11.0 vs 26.9 \u00b1 12.3;\n                      <jats:italic>P<\/jats:italic>\n                      = .015). No differences were observed in HbA\n                      <jats:sub>1c<\/jats:sub>\n                      levels (6.9 \u00b1 0.8% vs 6.8 \u00b1 0.8%,\n                      <jats:italic>P<\/jats:italic>\n                      = .555) or CGM glucose metrics between the two groups. Remarkably, 25.5% were forced to discontinue insulin pumps and\/or glucose sensors (21.5% and 5.9%, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our study highlighted the increased emotional burden experienced by youths with T1D and their parents due to device-related skin reactions, emphasizing the need for further research and interventions in this crucial aspect of diabetes management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19322968241253285","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T07:19:16Z","timestamp":1716880756000},"page":"1293-1299","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Device-Related Skin Reactions Increase Emotional Burden in Youths With Type 1 Diabetes and Their Parents"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4369-7798","authenticated-orcid":false,"given":"Stefano","family":"Passanisi","sequence":"first","affiliation":[{"name":"Department of Human Pathology in Adult and Developmental Age \u201cGaetano Barresi,\u201d University of Messina, Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Galletta","sequence":"additional","affiliation":[{"name":"Department of Human Pathology in Adult and Developmental Age \u201cGaetano Barresi,\u201d University of Messina, Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8664-1025","authenticated-orcid":false,"given":"Bruno","family":"Bombaci","sequence":"additional","affiliation":[{"name":"Department of Human Pathology in Adult and Developmental Age \u201cGaetano Barresi,\u201d University of Messina, Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentino","family":"Cherubini","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology and Diabetology Unit, Department of Women\u2019s and Children\u2019s Health, Azienda Ospedaliero Universitaria delle Marche, \u201cG. Salesi\u201d Hospital, Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Tiberi","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology and Diabetology Unit, Department of Women\u2019s and Children\u2019s Health, Azienda Ospedaliero Universitaria delle Marche, \u201cG. Salesi\u201d Hospital, Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Minuto","sequence":"additional","affiliation":[{"name":"IRCCS Istituto Giannina Gaslini, Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Bassi","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dario","family":"Iafusco","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Regional Center of Pediatric Diabetology \u201cG.Stoppoloni,\u201d University of Campania \u201cLuigi Vanvitelli,\u201d Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessia","family":"Piscopo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Regional Center of Pediatric Diabetology \u201cG.Stoppoloni,\u201d University of Campania \u201cLuigi Vanvitelli,\u201d Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enza","family":"Mozzillo","sequence":"additional","affiliation":[{"name":"Section of Pediatrics, Regional Center of Pediatric Diabetes, Department of Translational Medical Science, Federico II University of Naples, Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Di Candia","sequence":"additional","affiliation":[{"name":"Section of Pediatrics, Regional Center of Pediatric Diabetes, Department of Translational Medical Science, Federico II University of Naples, Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivana","family":"Rabbone","sequence":"additional","affiliation":[{"name":"Division of Pediatrics, Department of Health Sciences, University of Piemonte Orientale, Novara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Pozzi","sequence":"additional","affiliation":[{"name":"Division of Pediatrics, Department of Health Sciences, University of Piemonte Orientale, Novara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2230-7148","authenticated-orcid":false,"given":"Roberto","family":"Franceschi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, S. Chiara Hospital of Trento, APSS, Trento, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vittoria","family":"Cauvin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, S. Chiara Hospital of Trento, APSS, Trento, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Maffeis","sequence":"additional","affiliation":[{"name":"Pediatric Diabetes and Metabolic Disorders Unit, Regional Center for Pediatric Diabetes, University City Hospital, Verona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia Anita","family":"Piona","sequence":"additional","affiliation":[{"name":"Pediatric Diabetes and Metabolic Disorders Unit, Regional Center for Pediatric Diabetes, University City Hospital, Verona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppina","family":"Salzano","sequence":"additional","affiliation":[{"name":"Department of Human Pathology in Adult and Developmental Age \u201cGaetano Barresi,\u201d University of Messina, Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/19322968221133382"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eprac.2021.04.008"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-023-01501-6."},{"key":"e_1_3_3_5_2","first-page":"339","article-title":"Barriers to uptake of insulin technologies and novel solutions","volume":"14","author":"Pauley ME","year":"2021","unstructured":"Pauley ME, Berget C, Messer LH, Forlenza GP. 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