baebbeb328ac44199f135b1a1d21e56220260802220813241depositorname@domain.comregistrantRevista Latino-Americana de EnfermagemRev. Latino-Am. Enfermagem1518-8345202634Sistema de Infusão Contínua de Insulina e autocuidado no Diabetes Mellitus Tipo 1: revisão de escopoRaquel Rodrigues da CostaBrilhanteUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0002-3870-4324Carla Cristina deSordiUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-4267-0558Paulo Weslen CarneiroGonçalvesUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0002-0885-0574Vanessa de Araujo LimaFreireUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-1253-4360Amelina de BritoBelchiorUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0002-3420-594XMaria Luiza PereiraCostaUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0001-8450-8095Raquel SampaioFlorêncioUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-3119-7187Sherida Karanini Paz deOliveiraUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-3902-8046 Objective: to map the evidence available in the literature on self-care among people with type 1 diabetes mellitus using continuous insulin infusion systems. Method: this is a scoping review based on the principles recommended by the JBI and the PRISMA guidelines for data extraction, conducted using ten databases and gray literature. The PCC strategy was used for data collection. Studies were selected after duplicates were removed and individual and paired assessments were conducted. Descriptive analysis and diagrams were used to present the results. Results: an analysis of the 18 selected articles showed three self-care behaviors: glycemic management, insulin bolus, and carbohydrate counting. The factors influencing these behaviors were Knowledge, Freedom/flexibility, Sensor use, Context, and Responsibility. Conclusion: the studies indicate that in-depth knowledge of self-care enables professionals to make better decisions about individualized treatment plans and enables people using the Continuous Insulin Infusion System to seek actions and information related to daily care for proper diabetes management. There is a need for future intervention studies to optimize self-care in this population. Objetivo: mapear as evidências disponíveis na literatura sobre o autocuidado de pessoas com Diabetes Mellitus Tipo 1 em uso do Sistema de Infusão Contínua de Insulina. Método: trata-se de uma revisão de escopo baseada nos princípios preconizados pelo JBI e nas diretrizes do PRISMA para a extração dos dados, realizada em dez bases de dados e da literatura cinzenta. Utilizou-se a estratégia PCC para a coleta de dados. A seleção dos estudos foi realizada após a remoção de duplicatas, avaliação individual e em pares. Para apresentação dos resultados, utilizou-se análise descritiva e diagrama. Resultados: uma análise dos 18 artigos selecionados mostrou que existem três comportamentos de autocuidado: manejo glicêmico, bolus de insulina e contagem de carboidratos. Os fatores que influenciam esses comportamentos foram o Conhecimento, Liberdade/flexibilidade, Uso do sensor, Contexto e Responsabilidade. Conclusão: os estudos evidenciam que um conhecimento aprofundado sobre o autocuidado permite aos profissionais tomar melhores decisões quanto ao plano terapêutico individualizado; e as pessoas em uso do Sistema de Infusão Contínua de Insulina, buscar ações e informações em relação aos cuidados diários, para o adequado manejo do diabetes. Destaca-se a necessidade de estudos futuros de intervenção que otimizem o autocuidado nessa população. Objetivo: mapear las evidencias disponibles en la literatura sobre el autocuidado de personas con Diabetes Mellitus Tipo 1 que utilizan el Sistema de Infusión Continua de Insulina. Método: se trata de una revisión de alcance basada en los principios recomendados por el JBI y en las directrices PRISMA para la extracción de datos, realizada a partir de diez bases de datos y da literatura gris. Se utilizó la estrategia PCC para la recopilación de datos. La selección de los estudios se realizó tras la eliminación de duplicados, la evaluación individual y por pares. Se utilizaron análisis descriptivos y diagramas para presentar los resultados. Resultados: un análisis de los 18 artículos seleccionados mostró que existen tres comportamientos de autocuidado: manejo glucémico, bolo de insulina y recuento de carbohidratos. Los factores que influyen en estos comportamientos fueron el conocimiento, la libertad/flexibilidad, el uso del sensor, el contexto y la responsabilidad. Conclusión: los estudios demuestran que un conocimiento profundo sobre el autocuidado permite a los profesionales tomar mejores decisiones respecto al plan terapéutico individualizado; y las personas que utilizan el Sistema de Infusión Continua de Insulina buscan acciones e información en relación con el cuidado diario, para un manejo adecuado de la diabetes. Se destaca la necesidad de futuros estudios de intervención que optimicen el autocuidado en esta población.2026e4852S0104-11692026000101005http://creativecommons.org/licenses/by/4.0/http://creativecommons.org/licenses/by/4.0/http://creativecommons.org/licenses/by/4.0/Sistema de Infusão Contínua de Insulina e autocuidado no Diabetes Mellitus Tipo 1: revisão de escopo10.1590/1518-8345.8001.4853Sistema de Infusión Continua de Insulina y autocuidado en la Diabetes Mellitus Tipo 1: revisión de alcance10.1590/1518-8345.8001.485110.1590/1518-8345.8001.4852http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692026000101005&tlng=enhttp://www.scielo.br/scielo.php?script=sci_pdf&pid=S0104-11692026000101005&tlng=enDiabetes Care44S152021Classification and diagnosis of diabetes: standards of medical care in diabetes-2021Rodacki M2021Classificação do Diabetes2022Type 1 diabetes estimates in children and adultsTrialsSawani S2112020Lifestyle changes and glycemic control in type 1 diabetes mellitus: a trial protocol with factorial design approachDiabetes Res Clin PractStamati A1932022Efficacy and safety of ultra-rapid insulin analogues in insulin pumps in patients with type 1 diabetes mellitus: a systematic review and meta-analysisBMC Endocr DisordAlvarenga CS222022Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping reviewDiabetes TherKesavadev J11612512020Evolution of insulin delivery devices: from syringes, pens and pumps to DIY artificial pancreasJMIR Res ProtocToledo MM132024Analysis of self-care activities in type 2 diabetes in Brazil: protocol for a scoping reviewEsc Anna NerySuplici SER2552021Adherence to self-care in people with diabetes mellitus in primary care: a mixed-methods studyPLoS OneSmudja M1932024Self-care activities in pediatric patients with type 1 diabetes mellitusPeters MDJ2024JBI manual for evidence synthesisScoping reviewsAnn Intern MedTricco AC16974672018PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanationConCI Conv Cienc InformAraújo WCO321002020Health information retrieval: construction, models and strategiesHonório HM2021Fundamentos das revisões sistemáticas em saúdeMinayo MCS2006O desafio do conhecimento: pesquisa qualitativa em saúde9Diabetes Metab SyndrAl Hayek AA1552021Effectiveness of the FreeStyle Libre 2 flash glucose monitoring system on diabetes self-management practices and glycemic parameters among patients with type 1 diabetes using insulin pumpEnferm Actual Costa RicaBrandão MGSA442023Applications for self-management of type 1 diabetes in users of continuous insulin infusion systemPediatr DiabetesFaulds ER22710512021Expect the unexpected: adolescent and pre-teens' experience of diabetes technology self-managementDiabet MedRytter K4062023Associations between insulin pump self-management and HbA1c in type 1 diabetesJ Diabetes Sci TechnolFaulds ER16614512022Simulation platform development for diabetes and technology self-managementBMJ OpenPersson M1242022Striving for freedom or remaining with what is well-known: a focus-group study of self-management among people with type 1 diabetes who have suboptimal glycaemic control despite continuous subcutaneous insulin infusionJ Spec Pediatr NursFaulds ER2642021State of the science: a scoping review and gap analysis of adolescent insulin pump self-managementJ Med Internet ResReidy C2252020A facilitated web-based self-management tool for people with type 1 diabetes using an insulin pump: intervention development using the behavior change wheel and theoretical domains frameworkContemp Clin Trials1022021Pump It Up! A randomized clinical trial to optimize insulin pump self-management behaviors in adolescents with type 1 diabetesEndocrinol Diabetes NutrQuirós C6621172019Experiences and real life management of insulin pump therapy in adults with type 1 diabetesJ Diabetes Sci TechnolGrando MA1122402017Characterization of exercise and alcohol self-management behaviors of type 1 diabetes patients on insulin pump therapyJ Diabetes Sci TechnolGroat D1122332017Self-management behaviors in adults on insulin pump therapyJ Diabetes ComplicationsMartyn-Nemeth P3147352017Fear of hypoglycemia: influence on glycemic variability and self-management behavior in young adults with type 1 diabetesJ Adv NursOlinder AL67715472011Clarifying responsibility for self-management of diabetes in adolescents using insulin pumps: a qualitative studyJ Assist TechnolWilson V24262008Barriers to effective communication between patients using insulin pump therapy technology to enable intensive diabetes self-management and the health professionals providing their diabetes careFam Syst HealthBerlin KS241332006Contextual assessment of problematic situations identified by insulin pump use in adolescents and their parentsDiabetes CareRitholz MD3035492007Perceptions of psychosocial factors and the insulin pumpJ Pediatr PsycholWeissberg-Benchell J321011962007The use of continuous subcutaneous insulin infusion (CSII): parental and professional perceptions of self-care mastery and autonomy in children and adolescentsRev Bras EnfermBatista AFMB7432021Self-management support of adolescents with type 1 diabetes mellitus in the light of healthcare managementSci Diabetes Self Manag Care471302021An effective model of diabetes care and education: the ADCES7 self-care behaviorsRev Esc Enferm USPRamalho ELR572023Clinical and sociodemographic factors associated with the quality of life of children and adolescents with type 1 diabetesRev Enferm UFSMLeitão ASC142024Betinho's dynamic guide to diabetes mellitus health education type 1Silva Júnior WS2022Insulinoterapia no DM12019Guía rápida ISCIEndocrinol Diabetes NutrGiménez M651242018Documento de consenso SED-SEEP sobre el uso de la monitorización continua de la glucosa en EspañaCureusIbrahim SMH15112023The impact of using carbohydrate counting on managing diabetic patients: a reviewSaúdeMacedo ER5012024Self-care of teenagers with type 1 diabetes mellitus from primary health careDiabetes Res Clin PractFortins RF1541382019Predictor factors of glycemic control in children and adolescents with type 1 diabetes mellitus treated at a referral service in Rio de Janeiro, BrazilArch Endocrinol MetabAmaral CMO651672020Development and validation of an instrument (CSII-Brazil) to assess users' conceptual and procedural knowledge of continuous subcutaneous infusion systemsJ Diabetes NursJenkins EJE203642016Insulin pump users require recurrent education for the management of pump failureDiabetes Metab Syndr ObesBukhsh A1214092019Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitusRev Enferm Atual In DermeSardinha AHL9832024Type 1 diabetes mellitus: the use of insulin infusion pump in treatmentDiabetes SpectrLa Banca RO3533512022Acquisition of self-care responsibility in youth with type 1 diabetes: opportunities for improving tailored diabetes education and support programsDiabet MedMesser LH3544092018Best friend or spy: a qualitative meta-synthesis on the impact of continuous glucose monitoring on life with type 1 diabetesDiabetes Technol TherSmith MB21105892019Human factors associated with continuous glucose monitor use in patients with diabetes: a systematic reviewClin Med Insights Endocrinol DiabetesAl Hayek AA102017Evaluation of the FreeStyle Libre flash glucose monitoring system on glycemic control, health-related quality of life, and fear of hypoglycemia in patients with type 1 diabetesZhonghua Yi Xue Za ZhiLing P984637622018Glycemic control and its associated factors in children and adolescents with type 1 diabetes mellitusClin Med Insights Endocrinol DiabetesAl Hayek AA122019Differences of FreeStyle Libre flash glucose monitoring system and finger pricks on clinical characteristics and glucose monitoring satisfaction in type 1 diabetes using insulin pumpContinuous Insulin Infusion System and self-care in Type 1 Diabetes Mellitus: scope reviewRaquel Rodrigues da CostaBrilhanteUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0002-3870-4324Carla Cristina deSordiUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-4267-0558Paulo Weslen CarneiroGonçalvesUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0002-0885-0574Vanessa de Araujo LimaFreireUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-1253-4360Amelina de BritoBelchiorUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0002-3420-594XMaria Luiza PereiraCostaUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0001-8450-8095Raquel SampaioFlorêncioUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-3119-7187Sherida Karanini Paz deOliveiraUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-3902-8046 Objetivo: mapear as evidências disponíveis na literatura sobre o autocuidado de pessoas com Diabetes Mellitus Tipo 1 em uso do Sistema de Infusão Contínua de Insulina. Método: trata-se de uma revisão de escopo baseada nos princípios preconizados pelo JBI e nas diretrizes do PRISMA para a extração dos dados, realizada em dez bases de dados e da literatura cinzenta. Utilizou-se a estratégia PCC para a coleta de dados. A seleção dos estudos foi realizada após a remoção de duplicatas, avaliação individual e em pares. Para apresentação dos resultados, utilizou-se análise descritiva e diagrama. Resultados: uma análise dos 18 artigos selecionados mostrou que existem três comportamentos de autocuidado: manejo glicêmico, bolus de insulina e contagem de carboidratos. Os fatores que influenciam esses comportamentos foram o Conhecimento, Liberdade/flexibilidade, Uso do sensor, Contexto e Responsabilidade. Conclusão: os estudos evidenciam que um conhecimento aprofundado sobre o autocuidado permite aos profissionais tomar melhores decisões quanto ao plano terapêutico individualizado; e as pessoas em uso do Sistema de Infusão Contínua de Insulina, buscar ações e informações em relação aos cuidados diários, para o adequado manejo do diabetes. Destaca-se a necessidade de estudos futuros de intervenção que otimizem o autocuidado nessa população. Objective: to map the evidence available in the literature on self-care among people with type 1 diabetes mellitus using continuous insulin infusion systems. Method: this is a scoping review based on the principles recommended by the JBI and the PRISMA guidelines for data extraction, conducted using ten databases and gray literature. The PCC strategy was used for data collection. Studies were selected after duplicates were removed and individual and paired assessments were conducted. Descriptive analysis and diagrams were used to present the results. Results: an analysis of the 18 selected articles showed three self-care behaviors: glycemic management, insulin bolus, and carbohydrate counting. The factors influencing these behaviors were Knowledge, Freedom/flexibility, Sensor use, Context, and Responsibility. Conclusion: the studies indicate that in-depth knowledge of self-care enables professionals to make better decisions about individualized treatment plans and enables people using the Continuous Insulin Infusion System to seek actions and information related to daily care for proper diabetes management. There is a need for future intervention studies to optimize self-care in this population. Objetivo: mapear las evidencias disponibles en la literatura sobre el autocuidado de personas con Diabetes Mellitus Tipo 1 que utilizan el Sistema de Infusión Continua de Insulina. Método: se trata de una revisión de alcance basada en los principios recomendados por el JBI y en las directrices PRISMA para la extracción de datos, realizada a partir de diez bases de datos y da literatura gris. Se utilizó la estrategia PCC para la recopilación de datos. La selección de los estudios se realizó tras la eliminación de duplicados, la evaluación individual y por pares. Se utilizaron análisis descriptivos y diagramas para presentar los resultados. Resultados: un análisis de los 18 artículos seleccionados mostró que existen tres comportamientos de autocuidado: manejo glucémico, bolo de insulina y recuento de carbohidratos. Los factores que influyen en estos comportamientos fueron el conocimiento, la libertad/flexibilidad, el uso del sensor, el contexto y la responsabilidad. Conclusión: los estudios demuestran que un conocimiento profundo sobre el autocuidado permite a los profesionales tomar mejores decisiones respecto al plan terapéutico individualizado; y las personas que utilizan el Sistema de Infusión Continua de Insulina buscan acciones e información en relación con el cuidado diario, para un manejo adecuado de la diabetes. Se destaca la necesidad de futuros estudios de intervención que optimicen el autocuidado en esta población.2026e4852S0104-11692026000101005http://creativecommons.org/licenses/by/4.0/http://creativecommons.org/licenses/by/4.0/http://creativecommons.org/licenses/by/4.0/Continuous Insulin Infusion System and self-care in Type 1 Diabetes Mellitus: scope review10.1590/1518-8345.8001.485210.1590/1518-8345.8001.4853http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692026000101005&tlng=pthttp://www.scielo.br/scielo.php?script=sci_pdf&pid=S0104-11692026000101005&tlng=ptDiabetes Care44S152021Classification and diagnosis of diabetes: standards of medical care in diabetes-2021Rodacki M2021Classificação do Diabetes2022Type 1 diabetes estimates in children and adultsTrialsSawani S2112020Lifestyle changes and glycemic control in type 1 diabetes mellitus: a trial protocol with factorial design approachDiabetes Res Clin PractStamati A1932022Efficacy and safety of ultra-rapid insulin analogues in insulin pumps in patients with type 1 diabetes mellitus: a systematic review and meta-analysisBMC Endocr DisordAlvarenga CS222022Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping reviewDiabetes TherKesavadev J11612512020Evolution of insulin delivery devices: from syringes, pens and pumps to DIY artificial pancreasJMIR Res ProtocToledo MM132024Analysis of self-care activities in type 2 diabetes in Brazil: protocol for a scoping reviewEsc Anna NerySuplici SER2552021Adherence to self-care in people with diabetes mellitus in primary care: a mixed-methods studyPLoS OneSmudja M1932024Self-care activities in pediatric patients with type 1 diabetes mellitusPeters MDJ2024JBI manual for evidence synthesisScoping reviewsAnn Intern MedTricco AC16974672018PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanationConCI Conv Cienc InformAraújo WCO321002020Health information retrieval: construction, models and strategiesHonório HM2021Fundamentos das revisões sistemáticas em saúdeMinayo MCS2006O desafio do conhecimento: pesquisa qualitativa em saúde9Diabetes Metab SyndrAl Hayek AA1552021Effectiveness of the FreeStyle Libre 2 flash glucose monitoring system on diabetes self-management practices and glycemic parameters among patients with type 1 diabetes using insulin pumpEnferm Actual Costa RicaBrandão MGSA442023Applications for self-management of type 1 diabetes in users of continuous insulin infusion systemPediatr DiabetesFaulds ER22710512021Expect the unexpected: adolescent and pre-teens' experience of diabetes technology self-managementDiabet MedRytter K4062023Associations between insulin pump self-management and HbA1c in type 1 diabetesJ Diabetes Sci TechnolFaulds ER16614512022Simulation platform development for diabetes and technology self-managementBMJ OpenPersson M1242022Striving for freedom or remaining with what is well-known: a focus-group study of self-management among people with type 1 diabetes who have suboptimal glycaemic control despite continuous subcutaneous insulin infusionJ Spec Pediatr NursFaulds ER2642021State of the science: a scoping review and gap analysis of adolescent insulin pump self-managementJ Med Internet ResReidy C2252020A facilitated web-based self-management tool for people with type 1 diabetes using an insulin pump: intervention development using the behavior change wheel and theoretical domains frameworkContemp Clin Trials1022021Pump It Up! A randomized clinical trial to optimize insulin pump self-management behaviors in adolescents with type 1 diabetesEndocrinol Diabetes NutrQuirós C6621172019Experiences and real life management of insulin pump therapy in adults with type 1 diabetesJ Diabetes Sci TechnolGrando MA1122402017Characterization of exercise and alcohol self-management behaviors of type 1 diabetes patients on insulin pump therapyJ Diabetes Sci TechnolGroat D1122332017Self-management behaviors in adults on insulin pump therapyJ Diabetes ComplicationsMartyn-Nemeth P3147352017Fear of hypoglycemia: influence on glycemic variability and self-management behavior in young adults with type 1 diabetesJ Adv NursOlinder AL67715472011Clarifying responsibility for self-management of diabetes in adolescents using insulin pumps: a qualitative studyJ Assist TechnolWilson V24262008Barriers to effective communication between patients using insulin pump therapy technology to enable intensive diabetes self-management and the health professionals providing their diabetes careFam Syst HealthBerlin KS241332006Contextual assessment of problematic situations identified by insulin pump use in adolescents and their parentsDiabetes CareRitholz MD3035492007Perceptions of psychosocial factors and the insulin pumpJ Pediatr PsycholWeissberg-Benchell J321011962007The use of continuous subcutaneous insulin infusion (CSII): parental and professional perceptions of self-care mastery and autonomy in children and adolescentsRev Bras EnfermBatista AFMB7432021Self-management support of adolescents with type 1 diabetes mellitus in the light of healthcare managementSci Diabetes Self Manag Care471302021An effective model of diabetes care and education: the ADCES7 self-care behaviorsRev Esc Enferm USPRamalho ELR572023Clinical and sociodemographic factors associated with the quality of life of children and adolescents with type 1 diabetesRev Enferm UFSMLeitão ASC142024Betinho's dynamic guide to diabetes mellitus health education type 1Silva Júnior WS2022Insulinoterapia no DM12019Guía rápida ISCIEndocrinol Diabetes NutrGiménez M651242018Documento de consenso SED-SEEP sobre el uso de la monitorización continua de la glucosa en EspañaCureusIbrahim SMH15112023The impact of using carbohydrate counting on managing diabetic patients: a reviewSaúdeMacedo ER5012024Self-care of teenagers with type 1 diabetes mellitus from primary health careDiabetes Res Clin PractFortins RF1541382019Predictor factors of glycemic control in children and adolescents with type 1 diabetes mellitus treated at a referral service in Rio de Janeiro, BrazilArch Endocrinol MetabAmaral CMO651672020Development and validation of an instrument (CSII-Brazil) to assess users' conceptual and procedural knowledge of continuous subcutaneous infusion systemsJ Diabetes NursJenkins EJE203642016Insulin pump users require recurrent education for the management of pump failureDiabetes Metab Syndr ObesBukhsh A1214092019Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitusRev Enferm Atual In DermeSardinha AHL9832024Type 1 diabetes mellitus: the use of insulin infusion pump in treatmentDiabetes SpectrLa Banca RO3533512022Acquisition of self-care responsibility in youth with type 1 diabetes: opportunities for improving tailored diabetes education and support programsDiabet MedMesser LH3544092018Best friend or spy: a qualitative meta-synthesis on the impact of continuous glucose monitoring on life with type 1 diabetesDiabetes Technol TherSmith MB21105892019Human factors associated with continuous glucose monitor use in patients with diabetes: a systematic reviewClin Med Insights Endocrinol DiabetesAl Hayek AA102017Evaluation of the FreeStyle Libre flash glucose monitoring system on glycemic control, health-related quality of life, and fear of hypoglycemia in patients with type 1 diabetesZhonghua Yi Xue Za ZhiLing P984637622018Glycemic control and its associated factors in children and adolescents with type 1 diabetes mellitusClin Med Insights Endocrinol DiabetesAl Hayek AA122019Differences of FreeStyle Libre flash glucose monitoring system and finger pricks on clinical characteristics and glucose monitoring satisfaction in type 1 diabetes using insulin pumpContinuous Insulin Infusion System and self-care in Type 1 Diabetes Mellitus: scope reviewRaquel Rodrigues da CostaBrilhanteUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0002-3870-4324Carla Cristina deSordiUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-4267-0558Paulo Weslen CarneiroGonçalvesUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0002-0885-0574Vanessa de Araujo LimaFreireUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-1253-4360Amelina de BritoBelchiorUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0002-3420-594XMaria Luiza PereiraCostaUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0001-8450-8095Raquel SampaioFlorêncioUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-3119-7187Sherida Karanini Paz deOliveiraUniversidade Estadual do Ceará, Brazilhttp://orcid.org/0000-0003-3902-8046 Objetivo: mapear las evidencias disponibles en la literatura sobre el autocuidado de personas con Diabetes Mellitus Tipo 1 que utilizan el Sistema de Infusión Continua de Insulina. Método: se trata de una revisión de alcance basada en los principios recomendados por el JBI y en las directrices PRISMA para la extracción de datos, realizada a partir de diez bases de datos y da literatura gris. Se utilizó la estrategia PCC para la recopilación de datos. La selección de los estudios se realizó tras la eliminación de duplicados, la evaluación individual y por pares. Se utilizaron análisis descriptivos y diagramas para presentar los resultados. Resultados: un análisis de los 18 artículos seleccionados mostró que existen tres comportamientos de autocuidado: manejo glucémico, bolo de insulina y recuento de carbohidratos. Los factores que influyen en estos comportamientos fueron el conocimiento, la libertad/flexibilidad, el uso del sensor, el contexto y la responsabilidad. Conclusión: los estudios demuestran que un conocimiento profundo sobre el autocuidado permite a los profesionales tomar mejores decisiones respecto al plan terapéutico individualizado; y las personas que utilizan el Sistema de Infusión Continua de Insulina buscan acciones e información en relación con el cuidado diario, para un manejo adecuado de la diabetes. Se destaca la necesidad de futuros estudios de intervención que optimicen el autocuidado en esta población. Objective: to map the evidence available in the literature on self-care among people with type 1 diabetes mellitus using continuous insulin infusion systems. Method: this is a scoping review based on the principles recommended by the JBI and the PRISMA guidelines for data extraction, conducted using ten databases and gray literature. The PCC strategy was used for data collection. Studies were selected after duplicates were removed and individual and paired assessments were conducted. Descriptive analysis and diagrams were used to present the results. Results: an analysis of the 18 selected articles showed three self-care behaviors: glycemic management, insulin bolus, and carbohydrate counting. The factors influencing these behaviors were Knowledge, Freedom/flexibility, Sensor use, Context, and Responsibility. Conclusion: the studies indicate that in-depth knowledge of self-care enables professionals to make better decisions about individualized treatment plans and enables people using the Continuous Insulin Infusion System to seek actions and information related to daily care for proper diabetes management. There is a need for future intervention studies to optimize self-care in this population. Objetivo: mapear as evidências disponíveis na literatura sobre o autocuidado de pessoas com Diabetes Mellitus Tipo 1 em uso do Sistema de Infusão Contínua de Insulina. Método: trata-se de uma revisão de escopo baseada nos princípios preconizados pelo JBI e nas diretrizes do PRISMA para a extração dos dados, realizada em dez bases de dados e da literatura cinzenta. Utilizou-se a estratégia PCC para a coleta de dados. A seleção dos estudos foi realizada após a remoção de duplicatas, avaliação individual e em pares. Para apresentação dos resultados, utilizou-se análise descritiva e diagrama. Resultados: uma análise dos 18 artigos selecionados mostrou que existem três comportamentos de autocuidado: manejo glicêmico, bolus de insulina e contagem de carboidratos. Os fatores que influenciam esses comportamentos foram o Conhecimento, Liberdade/flexibilidade, Uso do sensor, Contexto e Responsabilidade. Conclusão: os estudos evidenciam que um conhecimento aprofundado sobre o autocuidado permite aos profissionais tomar melhores decisões quanto ao plano terapêutico individualizado; e as pessoas em uso do Sistema de Infusão Contínua de Insulina, buscar ações e informações em relação aos cuidados diários, para o adequado manejo do diabetes. Destaca-se a necessidade de estudos futuros de intervenção que otimizem o autocuidado nessa população.2026e4852S0104-11692026000101005http://creativecommons.org/licenses/by/4.0/http://creativecommons.org/licenses/by/4.0/http://creativecommons.org/licenses/by/4.0/Continuous Insulin Infusion System and self-care in Type 1 Diabetes Mellitus: scope review10.1590/1518-8345.8001.485210.1590/1518-8345.8001.4851http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692026000101005&tlng=eshttp://www.scielo.br/scielo.php?script=sci_pdf&pid=S0104-11692026000101005&tlng=esDiabetes Care44S152021Classification and diagnosis of diabetes: standards of medical care in diabetes-2021Rodacki M2021Classificação do Diabetes2022Type 1 diabetes estimates in children and adultsTrialsSawani S2112020Lifestyle changes and glycemic control in type 1 diabetes mellitus: a trial protocol with factorial design approachDiabetes Res Clin PractStamati A1932022Efficacy and safety of ultra-rapid insulin analogues in insulin pumps in patients with type 1 diabetes mellitus: a systematic review and meta-analysisBMC Endocr DisordAlvarenga CS222022Use of continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes mellitus: a systematic mapping reviewDiabetes TherKesavadev J11612512020Evolution of insulin delivery devices: from syringes, pens and pumps to DIY artificial pancreasJMIR Res ProtocToledo MM132024Analysis of self-care activities in type 2 diabetes in Brazil: protocol for a scoping reviewEsc Anna NerySuplici SER2552021Adherence to self-care in people with diabetes mellitus in primary care: a mixed-methods studyPLoS OneSmudja M1932024Self-care activities in pediatric patients with type 1 diabetes mellitusPeters MDJ2024JBI manual for evidence synthesisScoping reviewsAnn Intern MedTricco AC16974672018PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanationConCI Conv Cienc InformAraújo WCO321002020Health information retrieval: construction, models and strategiesHonório HM2021Fundamentos das revisões sistemáticas em saúdeMinayo MCS2006O desafio do conhecimento: pesquisa qualitativa em saúde9Diabetes Metab SyndrAl Hayek AA1552021Effectiveness of the FreeStyle Libre 2 flash glucose monitoring system on diabetes self-management practices and glycemic parameters among patients with type 1 diabetes using insulin pumpEnferm Actual Costa RicaBrandão MGSA442023Applications for self-management of type 1 diabetes in users of continuous insulin infusion systemPediatr DiabetesFaulds ER22710512021Expect the unexpected: adolescent and pre-teens' experience of diabetes technology self-managementDiabet MedRytter K4062023Associations between insulin pump self-management and HbA1c in type 1 diabetesJ Diabetes Sci TechnolFaulds ER16614512022Simulation platform development for diabetes and technology self-managementBMJ OpenPersson M1242022Striving for freedom or remaining with what is well-known: a focus-group study of self-management among people with type 1 diabetes who have suboptimal glycaemic control despite continuous subcutaneous insulin infusionJ Spec Pediatr NursFaulds ER2642021State of the science: a scoping review and gap analysis of adolescent insulin pump self-managementJ Med Internet ResReidy C2252020A facilitated web-based self-management tool for people with type 1 diabetes using an insulin pump: intervention development using the behavior change wheel and theoretical domains frameworkContemp Clin Trials1022021Pump It Up! A randomized clinical trial to optimize insulin pump self-management behaviors in adolescents with type 1 diabetesEndocrinol Diabetes NutrQuirós C6621172019Experiences and real life management of insulin pump therapy in adults with type 1 diabetesJ Diabetes Sci TechnolGrando MA1122402017Characterization of exercise and alcohol self-management behaviors of type 1 diabetes patients on insulin pump therapyJ Diabetes Sci TechnolGroat D1122332017Self-management behaviors in adults on insulin pump therapyJ Diabetes ComplicationsMartyn-Nemeth P3147352017Fear of hypoglycemia: influence on glycemic variability and self-management behavior in young adults with type 1 diabetesJ Adv NursOlinder AL67715472011Clarifying responsibility for self-management of diabetes in adolescents using insulin pumps: a qualitative studyJ Assist TechnolWilson V24262008Barriers to effective communication between patients using insulin pump therapy technology to enable intensive diabetes self-management and the health professionals providing their diabetes careFam Syst HealthBerlin KS241332006Contextual assessment of problematic situations identified by insulin pump use in adolescents and their parentsDiabetes CareRitholz MD3035492007Perceptions of psychosocial factors and the insulin pumpJ Pediatr PsycholWeissberg-Benchell J321011962007The use of continuous subcutaneous insulin infusion (CSII): parental and professional perceptions of self-care mastery and autonomy in children and adolescentsRev Bras EnfermBatista AFMB7432021Self-management support of adolescents with type 1 diabetes mellitus in the light of healthcare managementSci Diabetes Self Manag Care471302021An effective model of diabetes care and education: the ADCES7 self-care behaviorsRev Esc Enferm USPRamalho ELR572023Clinical and sociodemographic factors associated with the quality of life of children and adolescents with type 1 diabetesRev Enferm UFSMLeitão ASC142024Betinho's dynamic guide to diabetes mellitus health education type 1Silva Júnior WS2022Insulinoterapia no DM12019Guía rápida ISCIEndocrinol Diabetes NutrGiménez M651242018Documento de consenso SED-SEEP sobre el uso de la monitorización continua de la glucosa en EspañaCureusIbrahim SMH15112023The impact of using carbohydrate counting on managing diabetic patients: a reviewSaúdeMacedo ER5012024Self-care of teenagers with type 1 diabetes mellitus from primary health careDiabetes Res Clin PractFortins RF1541382019Predictor factors of glycemic control in children and adolescents with type 1 diabetes mellitus treated at a referral service in Rio de Janeiro, BrazilArch Endocrinol MetabAmaral CMO651672020Development and validation of an instrument (CSII-Brazil) to assess users' conceptual and procedural knowledge of continuous subcutaneous infusion systemsJ Diabetes NursJenkins EJE203642016Insulin pump users require recurrent education for the management of pump failureDiabetes Metab Syndr ObesBukhsh A1214092019Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitusRev Enferm Atual In DermeSardinha AHL9832024Type 1 diabetes mellitus: the use of insulin infusion pump in treatmentDiabetes SpectrLa Banca RO3533512022Acquisition of self-care responsibility in youth with type 1 diabetes: opportunities for improving tailored diabetes education and support programsDiabet MedMesser LH3544092018Best friend or spy: a qualitative meta-synthesis on the impact of continuous glucose monitoring on life with type 1 diabetesDiabetes Technol TherSmith MB21105892019Human factors associated with continuous glucose monitor use in patients with diabetes: a systematic reviewClin Med Insights Endocrinol DiabetesAl Hayek AA102017Evaluation of the FreeStyle Libre flash glucose monitoring system on glycemic control, health-related quality of life, and fear of hypoglycemia in patients with type 1 diabetesZhonghua Yi Xue Za ZhiLing P984637622018Glycemic control and its associated factors in children and adolescents with type 1 diabetes mellitusClin Med Insights Endocrinol DiabetesAl Hayek AA122019Differences of FreeStyle Libre flash glucose monitoring system and finger pricks on clinical characteristics and glucose monitoring satisfaction in type 1 diabetes using insulin pump