Insulin-treated diabetes in dependent or institutionalized patients is often poorly balanced and continuous glucose measurement is underused. The purpose of this tudy is to know how smart connected insulin pens and continuous glucose measurement can improve insulin therapy practice in dependent and/or institutionalized patients?
Older than 18 years patient with type 1 or 2 diabetes
Treated with multiple insulin injections
Equipped with a continuous glucose measurement system and smart connected insulin pens at least one month before
Dependent on a health professional for treatment management.
None
patient managed by a caregivers for the management of insulin therapy at home or in nursing home or in healthcare facility.
Cohort
Prospective
Counseling home caregivers
BehavioralAdvice on the proper use of insulin therapy will be given, if necessary, to caregivers. Patients are reviewed at 1 month of this first visit with a collection of the same data
Insulin Injection
Percentage of insulin injections not as prescribed
number of missed injections
Percentage of missed injections
number of injections
Percentage of injections performed with a dose deviation of +-20% from the prescribed dose
number of injections
Percentage of injections performed outside the meal time : more than 15 minutes before or more than an hour after the meal.
Continuous glucose measurement parameters
Time in range
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