Type 1 diabetes

Technology Use and Diabetes Management Across Elder Age Groups in Type 1 Diabetes and Latent Auto-Immune Diabetes in Adults, a BETTER Registry Cross-Sectional Analysis

Endocr PractPublished Cross-sectional study

Authors' conclusion

Most individuals in this cohort adopted technology use but in lower proportion among the group aged ≥70. Overall, diabetes management was good and similar between age groups.

Study context

Population
Adults aged 50 and over with T1D or LADA, Canadian BETTER registry; predominantly Caucasian (97% to 98%), residing in Quebec (71% to 79%)
Participants
674 adults
Exposure
Age groups 50-59 vs 60-69 vs ≥70 years
Outcome
Technology use
Methodological detailsregistry-based, mostly self-reported outcomes
  • Registry-based
  • Mostly self-reported outcomes

Main finding

As reported in the abstract

P = 0.020

Insulin pump use similar across age groups (P = .822)
36% to 39%

Observational data: associations, not effects.

Further findings

Outcome50-59≥ 70P value
Level 2 hypoglycemia events in the last month50-59 vs ≥ 70 · more frequent with 50-596.93.4P = 0.001

HbA1c ≤ 8%

Participants achieving HbA1c ≤ 8% across all groups
80% to 86%

Level 3 hypoglycemia, social and professional support

Similar between groups

Diabetes-related distress

Lower in older age groups

Original publication

Technology Use and Diabetes Management Across Elder Age Groups in Type 1 Diabetes and Latent Auto-Immune Diabetes in Adults, a BETTER Registry Cross-Sectional Analysis. Endocr Pract. Published 25 March 2025. doi:10.1016/j.eprac.2025.03.009

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