{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T10:55:36Z","timestamp":1781520936523,"version":"3.54.1"},"reference-count":53,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1590\/1518-8345.8001.4852","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T10:37:07Z","timestamp":1781519827000},"source":"Crossref","is-referenced-by-count":0,"title":["Continuous Insulin Infusion System and self-care in Type 1 Diabetes Mellitus: scope review"],"prefix":"10.1590","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3870-4324","authenticated-orcid":false,"given":"Raquel Rodrigues da Costa","family":"Brilhante","sequence":"first","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4267-0558","authenticated-orcid":false,"given":"Carla Cristina de","family":"Sordi","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0885-0574","authenticated-orcid":false,"given":"Paulo Weslen Carneiro","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1253-4360","authenticated-orcid":false,"given":"Vanessa de Araujo Lima","family":"Freire","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3420-594X","authenticated-orcid":false,"given":"Amelina de Brito","family":"Belchior","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8450-8095","authenticated-orcid":false,"given":"Maria Luiza Pereira","family":"Costa","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3119-7187","authenticated-orcid":false,"given":"Raquel Sampaio","family":"Flor\u00eancio","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3902-8046","authenticated-orcid":false,"given":"Sherida Karanini Paz de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"S15","DOI":"10.2337\/dc21-S002","article-title":"Classification and diagnosis of diabetes: standards of medical care in diabetes-2021","volume":"44","year":"2021","journal-title":"Diabetes Care"},{"key":"ref2","series-title":"Classifica\u00e7\u00e3o do Diabetes","author":"Rodacki M","year":"2021"},{"key":"ref3","series-title":"Type 1 diabetes estimates in children and adults","year":"2022"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","DOI":"10.1186\/s13063-020-4205-7","article-title":"Lifestyle changes and glycemic control in type 1 diabetes mellitus: a trial protocol with factorial design approach","volume":"21","author":"Sawani S","year":"2020","journal-title":"Trials"},{"key":"ref5","doi-asserted-by":"crossref","DOI":"10.1016\/j.diabres.2022.110144","article-title":"Efficacy and safety of ultra-rapid insulin analogues in insulin pumps in patients with type 1 diabetes mellitus: a systematic review and meta-analysis","volume":"193","author":"Stamati A","year":"2022","journal-title":"Diabetes Res Clin Pract"},{"key":"ref6","doi-asserted-by":"crossref","DOI":"10.1186\/s12902-022-00950-7","article-title":"Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping review","volume":"22","author":"Alvarenga CS","year":"2022","journal-title":"BMC Endocr Disord"},{"issue":"6","key":"ref7","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1007\/s13300-020-00831-z","article-title":"Evolution of insulin delivery devices: from syringes, pens and pumps to DIY artificial pancreas","volume":"11","author":"Kesavadev J","year":"2020","journal-title":"Diabetes Ther"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.2196\/49105","article-title":"Analysis of self-care activities in type 2 diabetes in Brazil: protocol for a scoping review","volume":"13","author":"Toledo MM","year":"2024","journal-title":"JMIR Res Protoc"},{"issue":"5","key":"ref9","article-title":"Adherence to self-care in people with diabetes mellitus in primary care: a mixed-methods study","volume":"25","author":"Suplici SER","year":"2021","journal-title":"Esc Anna Nery"},{"issue":"3","key":"ref10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0300055","article-title":"Self-care activities in pediatric patients with type 1 diabetes mellitus","volume":"19","author":"Smudja M","year":"2024","journal-title":"PLoS One"},{"key":"ref11","series-title":"JBI manual for evidence synthesis","volume-title":"Scoping reviews","author":"Peters MDJ","year":"2024"},{"issue":"7","key":"ref12","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation","volume":"169","author":"Tricco AC","year":"2018","journal-title":"Ann Intern Med"},{"issue":"2","key":"ref13","first-page":"100","article-title":"Health information retrieval: construction, models and strategies","volume":"3","author":"Ara\u00fajo WCO","year":"2020","journal-title":"ConCI Conv Cienc Inform"},{"key":"ref14","series-title":"Fundamentos das revis\u00f5es sistem\u00e1ticas em sa\u00fade","author":"Hon\u00f3rio HM","year":"2021"},{"key":"ref15","series-title":"O desafio do conhecimento: pesquisa qualitativa em sa\u00fade","author":"Minayo MCS","year":"2006","edition":"9"},{"issue":"5","key":"ref16","doi-asserted-by":"crossref","DOI":"10.1016\/j.dsx.2021.102265","article-title":"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","volume":"15","author":"Al Hayek AA","year":"2021","journal-title":"Diabetes Metab Syndr"},{"key":"ref17","article-title":"Applications for self-management of type 1 diabetes in users of continuous insulin infusion system","volume":"44","author":"Brand\u00e3o MGSA","year":"2023","journal-title":"Enferm Actual Costa Rica"},{"issue":"7","key":"ref18","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1111\/pedi.13249","article-title":"Expect the unexpected: adolescent and pre-teens' experience of diabetes technology self-management","volume":"22","author":"Faulds ER","year":"2021","journal-title":"Pediatr Diabetes"},{"issue":"6","key":"ref19","doi-asserted-by":"crossref","DOI":"10.1111\/dme.15068","article-title":"Associations between insulin pump self-management and HbA1c in type 1 diabetes","volume":"40","author":"Rytter K","year":"2023","journal-title":"Diabet Med"},{"issue":"6","key":"ref20","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1177\/19322968211029303","article-title":"Simulation platform development for diabetes and technology self-management","volume":"16","author":"Faulds ER","year":"2022","journal-title":"J Diabetes Sci Technol"},{"issue":"4","key":"ref21","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-057836","article-title":"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 glycaemic control despite continuous subcutaneous insulin infusion","volume":"12","author":"Persson M","year":"2022","journal-title":"BMJ Open"},{"issue":"4","key":"ref22","doi-asserted-by":"crossref","DOI":"10.1111\/jspn.12331","article-title":"State of the science: a scoping review and gap analysis of adolescent insulin pump self-management","volume":"26","author":"Faulds ER","year":"2021","journal-title":"J Spec Pediatr Nurs"},{"issue":"5","key":"ref23","doi-asserted-by":"crossref","DOI":"10.2196\/13980","article-title":"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","volume":"22","author":"Reidy C","year":"2020","journal-title":"J Med Internet Res"},{"key":"ref24","article-title":"Pump It Up! A randomized clinical trial to optimize insulin pump self-management behaviors in adolescents with type 1 diabetes","volume":"102","year":"2021","journal-title":"Contemp Clin Trials"},{"issue":"2","key":"ref25","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.endinu.2018.05.017","article-title":"Experiences and real life management of insulin pump therapy in adults with type 1 diabetes","volume":"66","author":"Quir\u00f3s C","year":"2019","journal-title":"Endocrinol Diabetes Nutr"},{"issue":"2","key":"ref26","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1177\/1932296816663746","article-title":"Characterization of exercise and alcohol self-management behaviors of type 1 diabetes patients on insulin pump therapy","volume":"11","author":"Grando MA","year":"2017","journal-title":"J Diabetes Sci Technol"},{"issue":"2","key":"ref27","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1177\/1932296816666538","article-title":"Self-management behaviors in adults on insulin pump therapy","volume":"11","author":"Groat D","year":"2017","journal-title":"J Diabetes Sci Technol"},{"issue":"4","key":"ref28","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1016\/j.jdiacomp.2016.12.015","article-title":"Fear of hypoglycemia: influence on glycemic variability and self-management behavior in young adults with type 1 diabetes","volume":"31","author":"Martyn-Nemeth P","year":"2017","journal-title":"J Diabetes Complications"},{"issue":"7","key":"ref29","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1111\/j.1365-2648.2010.05588.x","article-title":"Clarifying responsibility for self-management of diabetes in adolescents using insulin pumps: a qualitative study","volume":"67","author":"Olinder AL","year":"2011","journal-title":"J Adv Nurs"},{"issue":"4","key":"ref30","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1108\/17549450200800034","article-title":"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","volume":"2","author":"Wilson V","year":"2008","journal-title":"J Assist Technol"},{"issue":"1","key":"ref31","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1037\/1091-7527.24.1.33","article-title":"Contextual assessment of problematic situations identified by insulin pump use in adolescents and their parents","volume":"24","author":"Berlin KS","year":"2006","journal-title":"Fam Syst Health"},{"issue":"3","key":"ref32","doi-asserted-by":"crossref","first-page":"549","DOI":"10.2337\/dc06-1755","article-title":"Perceptions of psychosocial factors and the insulin pump","volume":"30","author":"Ritholz MD","year":"2007","journal-title":"Diabetes Care"},{"issue":"10","key":"ref33","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1093\/jpepsy\/jsm050","article-title":"The use of continuous subcutaneous insulin infusion (CSII): parental and professional perceptions of self-care mastery and autonomy in children and adolescents","volume":"32","author":"Weissberg-Benchell J","year":"2007","journal-title":"J Pediatr Psychol"},{"issue":"3","key":"ref34","article-title":"Self-management support of adolescents with type 1 diabetes mellitus in the light of healthcare management","volume":"74","author":"Batista AFMB","year":"2021","journal-title":"Rev Bras Enferm"},{"issue":"1","key":"ref35","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1177\/0145721720978154","article-title":"An effective model of diabetes care and education: the ADCES7 self-care behaviors","volume":"47","year":"2021","journal-title":"Sci Diabetes Self Manag Care"},{"key":"ref36","article-title":"Clinical and sociodemographic factors associated with the quality of life of children and adolescents with type 1 diabetes","volume":"57","author":"Ramalho ELR","year":"2023","journal-title":"Rev Esc Enferm USP"},{"key":"ref37","article-title":"Betinho's dynamic guide to diabetes mellitus health education type 1","volume":"14","author":"Leit\u00e3o ASC","year":"2024","journal-title":"Rev Enferm UFSM"},{"key":"ref38","series-title":"Insulinoterapia no DM1","author":"Silva J\u00fanior WS","year":"2022"},{"key":"ref39","series-title":"Gu\u00eda r\u00e1pida ISCI","year":"2019"},{"issue":"1","key":"ref40","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.endinu.2017.03.011","article-title":"Documento de consenso SED-SEEP sobre el uso de la monitorizaci\u00f3n continua de la glucosa en Espa\u00f1a","volume":"65","author":"Gim\u00e9nez M","year":"2018","journal-title":"Endocrinol Diabetes Nutr"},{"issue":"11","key":"ref41","article-title":"The impact of using carbohydrate counting on managing diabetic patients: a review","volume":"15","author":"Ibrahim SMH","year":"2023","journal-title":"Cureus"},{"issue":"1","key":"ref42","article-title":"Self-care of teenagers with type 1 diabetes mellitus from primary health care","volume":"50","author":"Macedo ER","year":"2024","journal-title":"Sa\u00fade"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.diabres.2019.05.027","article-title":"Predictor factors of glycemic control in children and adolescents with type 1 diabetes mellitus treated at a referral service in Rio de Janeiro, Brazil","volume":"154","author":"Fortins RF","year":"2019","journal-title":"Diabetes Res Clin Pract"},{"issue":"1","key":"ref44","first-page":"67","article-title":"Development and validation of an instrument (CSII-Brazil) to assess users' conceptual and procedural knowledge of continuous subcutaneous infusion systems","volume":"65","author":"Amaral CMO","year":"2020","journal-title":"Arch Endocrinol Metab"},{"key":"ref45","first-page":"364","article-title":"Insulin pump users require recurrent education for the management of pump failure","volume":"20","author":"Jenkins EJE","year":"2016","journal-title":"J Diabetes Nurs"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.2147\/DMSO.S209711","article-title":"Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitus","volume":"12","author":"Bukhsh A","year":"2019","journal-title":"Diabetes Metab Syndr Obes"},{"issue":"3","key":"ref47","article-title":"Type 1 diabetes mellitus: the use of insulin infusion pump in treatment","volume":"98","author":"Sardinha AHL","year":"2024","journal-title":"Rev Enferm Atual In Derme"},{"issue":"3","key":"ref48","doi-asserted-by":"crossref","first-page":"351","DOI":"10.2337\/ds21-0049","article-title":"Acquisition of self-care responsibility in youth with type 1 diabetes: opportunities for improving tailored diabetes education and support programs","volume":"35","author":"La Banca RO","year":"2022","journal-title":"Diabetes Spectr"},{"issue":"4","key":"ref49","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1111\/dme.13568","article-title":"Best friend or spy: a qualitative meta-synthesis on the impact of continuous glucose monitoring on life with type 1 diabetes","volume":"35","author":"Messer LH","year":"2018","journal-title":"Diabet Med"},{"issue":"10","key":"ref50","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1089\/dia.2019.0136","article-title":"Human factors associated with continuous glucose monitor use in patients with diabetes: a systematic review","volume":"21","author":"Smith MB","year":"2019","journal-title":"Diabetes Technol Ther"},{"key":"ref51","doi-asserted-by":"crossref","DOI":"10.1177\/1179551417746957","article-title":"Evaluation of the FreeStyle Libre flash glucose monitoring system on glycemic control, health-related quality of life, and fear of hypoglycemia in patients with type 1 diabetes","volume":"10","author":"Al Hayek AA","year":"2017","journal-title":"Clin Med Insights Endocrinol Diabetes"},{"issue":"46","key":"ref52","first-page":"3762","article-title":"Glycemic control and its associated factors in children and adolescents with type 1 diabetes mellitus","volume":"98","author":"Ling P","year":"2018","journal-title":"Zhonghua Yi Xue Za Zhi"},{"key":"ref53","doi-asserted-by":"crossref","DOI":"10.1177\/1179551419861102","article-title":"Differences of FreeStyle Libre flash glucose monitoring system and finger pricks on clinical characteristics and glucose monitoring satisfaction in type 1 diabetes using insulin pump","volume":"12","author":"Al Hayek AA","year":"2019","journal-title":"Clin Med Insights Endocrinol Diabetes"}],"container-title":["Revista Latino-Americana de Enfermagem"],"original-title":["Sistema de Infus\u00e3o Cont\u00ednua de Insulina e autocuidado no Diabetes Mellitus Tipo 1: revis\u00e3o de escopo"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-11692026000101005&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T10:37:14Z","timestamp":1781519834000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-11692026000101005&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":53,"alternative-id":["S0104-11692026000101005"],"URL":"https:\/\/doi.org\/10.1590\/1518-8345.8001.4852","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1518-8345.8001.4853","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.8001.4851","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.8001.4851","asserted-by":"object"},{"id-type":"doi","id":"10.1590\/1518-8345.8001.4853","asserted-by":"object"}]},"ISSN":["1518-8345"],"issn-type":[{"value":"1518-8345","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e4852"}}