FROM SENSOR TO ALGORITHM, FROM DATA TO CARE: THE TECHNOLOGICAL RECONFIGURATION OF THE EXPERIENCE OF LIVING WITH DIABETES IN BRAZIL
DOI:
https://doi.org/10.63330/aurumpub.072-004Keywords:
Artificial intelligence, Diabetes mellitus, Digital health, Health technology, Self-careAbstract
Diabetes mellitus is a chronic condition whose management has been transformed by the incorporation of digital technologies capable of expanding monitoring, self-care, and the production of clinical information. This study aimed to analyze how digital technologies, ranging from monitoring sensors to algorithmic systems, reconfigure the experience of living with diabetes in Brazil. The study was justified by the need to understand the effects of digitalization on care, considering clinical benefits, autonomy, accessibility, and equity. An integrative literature review was conducted through searches in PubMed, Scopus, Latindex, the CAPES Journals Portal, and Miguilim, encompassing studies published in Portuguese and English between 2021 and 2026. Publications related to glucose monitoring, smart devices, artificial intelligence, self-care, user experience, data security, and equity in access to technology were analyzed. The results indicate that sensors, continuous monitoring systems, connected devices, and algorithmic tools expand monitoring capabilities and may promote individualized decision-making and greater user participation in care. However, challenges were also identified regarding accessibility, technological inequality, usability, privacy, data security, and the need for professional training. It is concluded that digital transformation has the potential to enhance diabetes care, provided that its implementation preserves person-centeredness, professional mediation, and equitable access to technological resources.
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References
AGARWAL, S. et al. The use of diabetes technology to address inequity in health outcomes: limitations and opportunities. Current Diabetes Reports, v. 22, p. 275-281, 2022.
BARONE, M. et al. A lived experience perspective on empowering people with diabetes through accessible point-of-care technology in Brazil. Journal of Patient Experience, v. 12, 2025.
BARDRAM, J. et al. DiaFocus: a personal health technology for adaptive assessment in long-term management of type 2 diabetes. ACM Transactions on Computing for Healthcare, v. 4, p. 1-43, 2023.
BERTOLAZZI, A. et al. Datafication of care: security and privacy issues with health technology for people with diabetes. Societies, 2024.
BODE, B. et al. Leveraging advances in diabetes technologies in primary care: a narrative review. Annals of Medicine, v. 53, p. 805-816, 2021.
BORISOVA, V.; VASSILEVA, S. Caring for more-than-human metabolic health: self-tracking technologies as tools of calculation and communication in obesity and type 1 diabetes care. Archivio Antropologico Mediterraneo, 2025.
CARDONA-HERNÁNDEZ, R. et al. Editorial: technologies for diabetes, volume III. Frontiers in Endocrinology, v. 17, 2026.
CHHABRA, M. et al. Diabetes technology experiences of young people living with type 1 diabetes mellitus and their parents: hybrid theoretical foundation guided analysis, 2021.
DALY, A.; HOVORKA, R. Technology in the management of type 2 diabetes – present status and future prospects. Diabetes, Obesity & Metabolism, v. 23, p. 1722-1732, 2021.
DE FREITAS, A. A. et al. Diabetes monitoring through digital health: perspectives on care optimization. BMC Digital Health, v. 3, 2025.
EBERLE, C.; STICHLING, S.; LÖHNERT, M. Diabetology 4.0: scoping review of novel insights and possibilities offered by digitalization. Journal of Medical Internet Research, v. 23, 2021.
ELIAN, V. et al. Current technologies for managing type 1 diabetes mellitus and their impact on quality of life—a narrative review. Life, v. 13, 2023.
EVERETT, E. et al. Contemporary diabetes technology and the patient experience. JAMA Network Open, v. 9, 2026.
GLENNIE, J.; BERARD, L.; LEVRAT-GUILLEN, F. Sensor-based technology: bringing value to people with diabetes and the healthcare system in an evolving world. ClinicoEconomics and Outcomes Research: CEOR, v. 14, p. 75-90, 2022.
HUANG, E. S. et al. The growing role of technology in the care of older adults with diabetes. Diabetes Care, v. 46, n. 8, p. 1455-1463, 2023.
JACOBSEN, L. et al. Utility and precision evidence of technology in the treatment of type 1 diabetes: a systematic review. Communications Medicine, v. 3, 2023.
KLONOFF, A. et al. Six digital health technologies that will transform diabetes. Journal of Diabetes Science and Technology, v. 17, p. 239-249, 2021.
LIARAKOS, A. et al. Patient-reported outcomes in studies of diabetes technology: what matters. Diabetes, Obesity & Metabolism, v. 26, p. 59-73, 2024.
LIARAKOS, A. et al. The use of technology in type 2 diabetes and prediabetes: a narrative review. Diabetologia, v. 67, p. 2059-2074, 2024.
MACKENZIE, S. et al. Diabetes and artificial intelligence beyond the closed loop: a review of the landscape, promise and challenges. Diabetologia, v. 67, p. 223-235, 2023.
MAQBOOL, S. et al. A smart sensing technologies-based intelligent healthcare system for diabetes patients. Sensors, v. 23, 2023.
MAKROUM, M. A. et al. Machine learning and smart devices for diabetes management: systematic review. Sensors, v. 22, 2022.
NATALE, P. et al. Patient experiences of continuous glucose monitoring and sensor-augmented insulin pump therapy for diabetes: a systematic review of qualitative studies. Journal of Diabetes, v. 15, p. 1048-1069, 2023.
SALOMON, I.; SAM, S. Technology-driven diabetes care: innovation without equity? Frontiers in Digital Health, v. 8, 2026.
SHOMALI, M. et al. The critical elements of digital health in diabetes and cardiometabolic care. Frontiers in Endocrinology, v. 15, 2024.
VAUTHIER, J.-C. et al. Diabetes technologies in ultra-endurance type 1 diabetes: qualitative study. Journal of Medical Internet Research, v. 28, 2025.
YOO, J. H.; KIM, J. H. Advances in continuous glucose monitoring and integrated devices for management of diabetes with insulin-based therapy: improvement in glycemic control. Diabetes & Metabolism Journal, v. 47, p. 27-41, 2023.
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