Use of Technology in Older Adults with Type 1 Diabetes: Clinical Characteristics and Glycemic Metrics

Munshi, Medha; Slyne, Christine; Davis, Dai’Quann J.; Michals, Amy; Sifre, Kayla; Dewar, Rachel; Atakov-Castillo, Astrid; Toschi, Elena

doi:10.1089/dia.2021.0246

Cited by 25 publications

(37 citation statements)

References 30 publications

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“…In Research demonstrates that those on insulin pumps, compared to multiple daily injections (MDI), report less hypoglycemia fear, less glucose variability, and lower A1C. 17…”

Section: Hypoglycemia Standardized Guidelinesmentioning

confidence: 99%

“…Research demonstrates that those on insulin pumps, compared to multiple daily injections (MDI), report less hypoglycemia fear, less glucose variability, and lower A1C. 17 However, the type of monitoring system and insulin delivery method can influence the reporting of impaired awareness of hypoglycemia (IAH) and diabetes distress. Despite achieving better glycemic management, pump and CGM users report higher rates of IAH and diabetes distress than those utilizing self blood glucose monitoring systems and MDI.…”

Section: Technology and Hypoglycemia Awarenessmentioning

confidence: 99%

“…However, the type of monitoring system and insulin delivery method can influence the reporting of impaired awareness of hypoglycemia (IAH) and diabetes distress. Despite achieving better glycemic management, pump and CGM users report higher rates of IAH and diabetes distress than those utilizing self blood glucose monitoring systems and MDI 17. …”

mentioning

confidence: 99%

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Hypoglycemia: An Underrecognized Peril for Older Adults With Diabetes

Burani¹,

Davidson²

2022

ADCES in Practice

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“…In Research demonstrates that those on insulin pumps, compared to multiple daily injections (MDI), report less hypoglycemia fear, less glucose variability, and lower A1C. 17…”

Section: Hypoglycemia Standardized Guidelinesmentioning

confidence: 99%

Section: Technology and Hypoglycemia Awarenessmentioning

confidence: 99%

See 1 more Smart Citation

Hypoglycemia: An Underrecognized Peril for Older Adults With Diabetes

Burani¹,

Davidson²

2022

ADCES in Practice

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“…This finding was important in showing that the reduction in hypoglycemia did not come at the cost of more time spent in hyperglycemic ranges. A handful of observational studied have further reinforced positive effects of CGM in older adults, including decreased hypoglycemia (14), reduced hemoglobin A1c and glycemic variability (15), and increased well-being and feelings of security (16).…”

Section: Introductionmentioning

confidence: 99%

“…Although estimates of the prevalence of CGM use in real-world populations of older adults vary, they range between approximately 30-70% in various studies and thus suggest opportunities to increase uptake (14, 17, 18). It is further established that the general use of medical technology may represent a complicated issue for older adults, particularly with regards to unique, age-specific barriers and the range of biopsychosocial needs that exist across the population (19).…”

Section: Introductionmentioning

confidence: 99%

Use of Systems Thinking and Group Model Building Methods to Understand Patterns of Continuous Glucose Monitoring Use Among Older Adults with Type 1 Diabetes

Kahkoska

Smith

Young

et al. 2022

Preprint

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A growing number of older adults (ages 65+ years) live with Type 1 diabetes, yet little is known about the complex dynamics that promote use of diabetes technology, such as continuous glucose monitoring (CGM), in this age group. We used systems thinking and methods from group model building (GMB), a participatory approach to system dynamics modeling, to collect data from older adults with Type 1 diabetes and their caregivers through group workshops and individual validation interviews. Data were integrated into a causal loop diagram of the system of factors associated with CGM uptake and use, including the clinical and psychosocial outcomes of use and interactions with caregiver and healthcare system factors. We describe the study design, recruitment, GMB and interview procedures, participant feedback, and lessons learned. The study demonstrates feasibility, acceptability, and the value of GMB to engage older adult stakeholders in sophisticated and rigorous research about key determinants of complex health outcomes over time.

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Guideline for the Management of Diabetes Mellitus in the Elderly in China (2024 Edition)

Guo,

Xiao

2024

Aging Medicine

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With the deepening of aging in China, the prevalence of diabetes in older people has increased noticeably, and standardized diabetes management is critical for improving clinical outcomes of diabetes in older people. In 2021, the National Center of Gerontology, Chinese Society of Geriatrics, and Diabetes Professional Committee of Chinese Aging Well Association organized experts to write the first guideline for diabetes diagnosis and treatment in older people in China, the Guideline for the Management of Diabetes Mellitus in the Elderly in China (2021 Edition). The guideline emphasizes that older patients with diabetes are a highly heterogeneous group requiring comprehensive assessment and stratified and individualized management strategies. The guideline proposes simple treatments and de‐intensified treatment strategies for older patients with diabetes. This edition of the guideline provides clinicians with practical and operable clinical guidance, thus greatly contributing to the comprehensive and full‐cycle standardized management of older patients with diabetes in China and promoting the extensive development of clinical and basic research on diabetes in older people and related fields. In the past 3 years, evidence‐based medicine for older patients with diabetes and related fields has further advanced, and new treatment concepts, drugs, and technologies have been developed. The guideline editorial committee promptly updated the first edition of the guideline and compiled the Guideline for the Management of Diabetes Mellitus in the Elderly in China (2024 Edition). More precise management paths for older patients with diabetes are proposed, for achieving continued standardization of the management of older Chinese patients with diabetes and improving their clinical outcomes.

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Use of Technology in Older Adults with Type 1 Diabetes: Clinical Characteristics and Glycemic Metrics

Cited by 25 publications

References 30 publications

Hypoglycemia: An Underrecognized Peril for Older Adults With Diabetes

Hypoglycemia: An Underrecognized Peril for Older Adults With Diabetes

Use of Systems Thinking and Group Model Building Methods to Understand Patterns of Continuous Glucose Monitoring Use Among Older Adults with Type 1 Diabetes

Guideline for the Management of Diabetes Mellitus in the Elderly in China (2024 Edition)

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