Diabetes technology

Real‐world lived experience of older adults with type 1 diabetes after an automated insulin delivery trial

Diabet MedPublished Qualitative interview study

Authors' conclusion

Almost 2 years after completing a closed-loop clinical trial, closed-loop automated insulin delivery remains the preferred type 1 diabetes therapy for the majority of older adult participants. Chronological age is not a barrier to real-world successful use of diabetes technology. Identifying age-related barriers, and solutions, to diabetes technology use among older adults is warranted.

Study context

Population
Older adults with T1D, pre-existing insulin pump users, who previously completed the OldeR Adult Closed-Loop (ORACL) randomised trial; mean age 70 years (SD 5)
Participants
28 adults
Outcome
Continued real-world closed-loop use and lived experience
Follow-up
Median 650 days (IQR 608-694) after final ORACL trial visit
Methodological detailssemi-structured interviews, follow-up of ORACL randomised trial participants
  • Semi-structured interviews
  • Follow-up of ORACL randomised trial participants

Main finding

As reported in the abstract

median 650 days (IQR 608-694) after final ORACL trial visit

Still using a commercial closed-loop system at interview

23

82%

Discontinued

5

Original publication

Real‐world lived experience of older adults with type 1 diabetes after an automated insulin delivery trial. Diabet Med. Published 10 December 2023. doi:10.1111/dme.15264

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