Remote Digital Monitoring (RDM) is a technology that a person with diabetes can wear or use at home. It provides information about changes in blood sugar levels and also behavior. For example, RDM tracks food choices and physical activity using sensors. Many experts are interested in using RDM to improve diabetes care. However, what do patients feel about using RDM, especially as it can be intrusive in their daily lives? Researchers surveyed over 1,000 people with diabetes (and most using insulin) from 30 countries. Researchers gave participants choices of technology and also options about how the collected information would be used. For example, options included feedback from their own doctor, or other health professionals, or computer-generated suggestions based on the RDM data. Participants reported that they would use RDM if it helped improve their health without being too intrusive. For instance, people do not want many disruptive alerts throughout the day. Participants were hesitant about two things: 1) the technology monitoring their food choices and, 2) if a doctor would give them real-time feedback throughout the day (instead of feedback later in a consultation). Developers of technology should not assume that people with diabetes will automatically use new products, especially if they are intrusive.


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