Older Adults Benefit From Virtual Support for Continuous Glucose Monitor Use But Require Longer Visits
Authors' conclusion
Adults with diabetes experience glycemic benefit after remote CGM use training, but training time for those >65 years is longer compared with younger adults. Addressing individual training-related needs, including needs that may vary by age, should be considered.
Study context
- Population
- Adults with T1D or T2D on basal-bolus insulin injections or insulin pump therapy; remote CGM education (3 scheduled visits over 1 month) by Certified Diabetes Care and Education SpecialistsT1D 160, T2D 74 · Adults with T1D 160 · or T2D 74
- Exposure
- Older vs younger adults using CGM with remote education
- Outcome
- Time 70 to 180 mg/dL
- Follow-up
- Baseline to 6 months
Methodological detailsvirtual, remote CGM education
- Virtual
- Remote CGM education
Main finding
As reported in the abstract
- <40: improved from 45% ± 22 to 57% ± 16%
- 40-64: improved from 50 ± 25 to 65 ± 18%
- ≥65: improved from 60 ± 28 to 69% ± 18%
- <40 vs 40-64: P = 0.006
Observational data: associations, not effects.
Further findings
| Outcome | Difference (min) | P value |
|---|---|---|
| Visit duration≥65 vs <40 | 41 | P = 0.001 |
HbA1c · baseline to 6 months
- Between-group differences
- all P > 0.05
- <40: 8.0% ± 1.6 to 7.3% ± 1.0%
- 40-64: 7.9 ± 1.6 to 7.0 ± 1.0%
- ≥65: 7.4 ± 1.4 to 7.1% ± 0.9%
CGM use
- Median CGM use ≥95% in all age groups
Original publication
Older Adults Benefit From Virtual Support for Continuous Glucose Monitor Use But Require Longer Visits. J Diabetes Sci Technol. Published 2 November 2024. doi:10.
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