Benefits and Challenges of Diabetes Technology Use in Older Adults

Endocrinol Metab Clin North Am. 2020 Mar;49(1):57-67. doi: 10.1016/j.ecl.2019.10.001. Epub 2019 Nov 18.

Abstract

With successful aging of adults with type 1 diabetes, there is an increased opportunity to use technology for diabetes management. Technology can ease the burden of self-care and provide a sense of security. However, age-related cognitive and physical decline can make technology use difficult. Guidelines using technology in the aging population are urgently needed, along with educational material for the clinicians and caregivers. In this article, we review the evidence supporting the use of diabetes-related technologies in the older population and discuss recommendations based on current data and the authors' clinical knowledge and experience.

Trial registration: ClinicalTrials.gov NCT03078491.

Keywords: Continuous glucose monitoring; Older adults; Subcutaneous continuous insulin infusion; Technology; Type 1 diabetes mellitus; Type 2 diabetes mellitus.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging / physiology*
  • Aging / psychology
  • Blood Glucose / analysis
  • Blood Glucose Self-Monitoring / instrumentation
  • Blood Glucose Self-Monitoring / trends
  • Diabetes Mellitus, Type 1* / blood
  • Diabetes Mellitus, Type 1* / drug therapy
  • Diabetes Mellitus, Type 1* / epidemiology
  • Diabetes Mellitus, Type 2* / blood
  • Diabetes Mellitus, Type 2* / drug therapy
  • Diabetes Mellitus, Type 2* / epidemiology
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Insulin / administration & dosage
  • Insulin Infusion Systems / trends
  • Inventions / trends*
  • Risk Assessment

Substances

  • Blood Glucose
  • Insulin

Associated data

  • ClinicalTrials.gov/NCT03078491