Evidence map›Paper›PMID 42032192›Full record

ArticlePediatric research2026

Barriers and benefits of insulin pump use in minority children with type 1 diabetes.

Athanasia Bouliari, Vatcharapan Umpaichitra, Renee Bargman, Vivian L Chin

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Athanasia BouliariDept of Pediatrics, Division of Pediatric Endocrinology, Weill Cornell Medicine, New York, NY, USA. dnd9003@med.cornell.edu.
Vatcharapan UmpaichitraDept of Pediatrics, Division of Pediatric Endocrinology, SUNY Downstate Health Sciences University and NYC Health + Hospitals/Kings County, Brooklyn, NY, USA.
Renee BargmanDept of Pediatrics, Division of Pediatric Endocrinology, NYC Health + Hospitals/Kings County and South Brooklyn Health, Brooklyn, NY, USA.
Vivian L ChinDept of Pediatrics, Division of Pediatric Endocrinology, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are significant racial disparities in glycemic control and device uptake among Non-Hispanic Black (NHB) children with type 1 diabetes mellitus (T1D). Research on the barriers and benefits of insulin pump use in this population remains limited. This study explores patients' and parents' perspectives on insulin pumps.

methodsA survey was administered to adolescents ages 12-21 years or parents of patients <12 years old with T1D, and demographics and diabetes history were collected.

resultsSurveys from 41 patients with 30 (73.2%) completed by adolescents and 11 (26.8%) by parents were collected. The majority (92.6%) of participants identified as Black; 31.7% were insulin pump users, 43.9% were non-users, and 24.4% were former users. Barriers reported included body image (56.1%), pump failure (34.2%) and concerns about practicality of use (31.7%). Parents more frequently reported financial and educational barriers (36.4% vs. 10%, p = 0.047, 27.3% vs. 3.3%, p = 0.022). Benefits reported included convenience (78.1%) and improved glycemic control (61%). Participants with positive attitudes toward insulin pumps were more likely to report 0 barriers, while former pump users were less likely to report 0 barriers.

conclusionUnderstanding the patient-perceived barriers and benefits of pumps in minority children with T1D may support targeted strategies to increase device uptake. IMPACT: Understanding the barriers to insulin pump use, as perceived by Black children and adolescents with Type 1 diabetes and their families, is critically important for improving device adoption and glycemic control. This study contributes valuable insights to the literature by centering the patients and family perspective. Our findings have the potential to significantly enhance diabetes outcomes in this population by equipping pediatric endocrinologists with actionable information to address these barriers.

Identifiers

PMID42032192

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.