January - March 2025, Volume 21, Issue 1

Barsal Cetiner E, Donbaloglu Z

Assessment of Non-Endocrinologist Physicians’ Awareness of Diabetes Technologies: A Nationwide Survey in Turkey

Acta Endo (Buc) 2025, 21 (1): 1-9
doi: 10.4183/aeb.2025.1

Context. Continuous glucose monitoring (CGM) and insulin pump technologies have improved the management of type 1 diabetes mellitus, particularly in childhood. Physicians’ knowledge and awareness of these devices are essential for their effective use. Objective. To assess physicians’ knowledge and awareness regarding CGM and insulin pump systems. Design. This study was designed as a descriptive cross-sectional study. Subjects and Methods. A total of 203 nonendocrinologist physicians from different regions and healthcare levels in Turkey participated. A 33-item questionnaire based on the ISPAD guidelines was used to evaluate knowledge. Results. Although 95.6% of participants had heard of CGM devices, only 14.8% correctly identified interstitial fluid as the medium of glucose measurement. While 34.5% knew that 6–10 daily fingerstick measurements are recommended, only half were aware that CGMs record 288 readings per day. Some mistakenly believed CGMs deliver insulin or require insertion in an operating room. Knowledge regarding insulin pump indications and age suitability was also insufficient. Knowledge levels did not significantly differ by specialty, academic title, or institution type. Conclusions. Non-endocrinologist physicians show limited knowledge of diabetes technologies, which may hinder patient education and management. Structured continuing medical education programs are needed to strengthen physicians’ competencies in this rapidly advancing field.

Keywords: continuous glucose monitoring, insulin pump, diabetes technology, type 1 diabetes mellitus, ISPAD, physician awareness

Correspondence: Ebru Barsal Cetiner, MD, Department of Pediatric Endocrinology, Antalya City Hospital, Kepez, 07080, Antalya, Turkey, E-mail: drzeynepdonbaloglu@gmail.com