Psychosocial Outcomes with the Omnipod® 5 Automated Insulin Delivery System in Children and Adolescents with Type 1 Diabetes and Their Caregivers

Table 4

Categorization of free response answers to questionnaire on likes and dislikes of the tubeless AID system between adolescents and caregivers of children, showing the most commonly reported response categories for each question (reported by ≥10% of participants).

Answer category	Number of users^† (%)	Representative quote
1. What did you like most about [the study system]? (n = 123^†)
Improved BG management	37 (30.1)	I liked most about the [system] is that it kept [my child’s] blood glucose levels more in target range. It seems like his blood glucose is more in range especially during the night and when waking up in the morning. I have also notice[d] that he doesn’t need to treat lows as often and needs snacks as often because his blood glucose is more steady and well controlled with the AID. I also like that myself and [my child] are not always thinking about diabetes all the time and it gives us a break from it. -Caregiver of a child
Night time control/better sleep	27 (22.0)	Helped reduce volatility, especially at night. It used to be an exception to have a good night sleep and not having to go manage our child’s T1D, with [the system] it is an exception that we have to go out of bed to manage our child’s T1D. -Caregiver of a child
Automated insulin delivery	20 (16.3)	What I liked the most about the [system] is the automated system. We didn’t have to worry so much about correcting and bolusing especially overnight. I can say, I (mom) have slept with no worries and in peace these past few months since using the […] system. It has been a blessing!!!!! -Caregiver of a child
Prevented lows	14 (11.4)	I Like that it helped prevent low blood sugars because I didn’t have to stop and treat my lows as much. -Teen
Reduced psychological burden	13 (10.6)	My child is extremely insulin and carb sensitive. He was on diluted insulin until nearly age 7, and required extended boluses for nearly every food. I was diligent and worked hard, and yet his A1c prior to the start of the trial was nearly 9.0. Now I barely think about diabetes, his A1c is at or below target, and he rarely has low blood sugar. Couldn’t be happier and can’t wait for commercial approval. -Caregiver of a child
2. What did you like least about [the system]? (n = 121^†)
Pod failures	16 (13.2)	Pods tended to have errors [⋯] resulting in the need to change more often than every 3 days. -Caregiver of a child
Liked everything	15 (12.4)	I don’t have anything negative to say about the [system]. -Teen
Alarm volume	13 (10.7)	Mostly the sound effects and alerts I couldn’t mute. -Teen
Algorithm performance	13 (10.7)	It isn’t overly aggressive and needs to be more aggressive to hit the target bg. -Teen

^†123 and 121 participants responded to these questions, respectively (out of 125 total participants); however, only response categories reported by ≥10% of participants are shown. There were additional response categories reported by <10% of participants, which are not shown.