The importance of training on diabetes technology has significantly changed with rapidly increasing use of technology in diabetes care, including use of insulin pumps, continuous glucose monitors, and automated insulin delivery (AID) systems. This study aimed to assess patient perspectives on technology training, and how nutrition, exercise and other aspects of health are discussed during healthcare appointments.

We conducted an IRB approved 42 question online survey for people living with type 1 diabetes (T1D) . Participants were recruited from the T1D Exchange Online Community by email over a 3 week period. Survey questions covered education on diabetes technology, nutrition, mental health and other medical conditions.

Of the 666 adult respondents, 581 reported receiving care from an endocrinologist and 533 used an insulin pump. With regard to advanced pump features, 55% reported their provider educated them on use of temporary basal rates for exercise, while 38% learned about temporary rates from a T1D online community, and 6.2% learned from a friend. Less than 50% of participants using an AID system talked with their provider about settings adjustments around exercise. Provider education around nutrition focused mainly on carb counting vs. other topics (low carb diet, food choices, effect on blood sugar; p=0.03) . Only 30% reported receiving education from their provider on use of advanced pump features around meals, and only 13% reported their provider discussed healthy eating often or always at clinic visits. Participants expressed a strong desire to receive education on low carb diets and different food choices as their primary need.

People with T1D continue to seek and receive advice for important topics related to diabetes management from online communities. They also seek information regarding nutrition and technology that is not discussed frequently at visits with their provider. Further development of educational materials for providers and people with T1D should address these needs.


C.C.Andre: None. X.Liao: None.

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