Diabetes technology

Usability of Continuous Glucose Monitoring for Older Adults with Type 2 Diabetes: A Systematic Review

Diabetes Technol TherPublished Systematic review

Authors' conclusion

Although the clinical effectiveness of CGM among adults 60 years or older was demonstrated in the reviewed studies, our usability assessment is inconclusive.

Study context

Population
Adults 60 years or older with T2D; English-language studies published 2019–2024 (PubMed, Embase, CINAHL)7 studies
Comparison
Continuous glucose monitoring (CGM) vs usual care; CGM across device types; CGM across care models
Outcome
Usability of CGM (efficiency, effectiveness and satisfaction)
Methodological detailsPRISMA checklist, quality assessed with Critical Appraisal Skills Program Checklist, 118 titles identified; 58 full-text reviews; 7 included
  • PRISMA checklist
  • Quality assessed with Critical Appraisal Skills Program Checklist
  • 118 titles identified; 58 full-text reviews; 7 included

Pooled result

As reported in the abstract

Usability of CGM
  • Clinical effectiveness (HbA1c and time-in-range) and satisfaction higher across CGM types vs usual care
  • Satisfaction higher with real-time CGM than professional-mode CGM (descriptive measures)
  • Efficiency findings not reported in the included studies
  • No findings on effectiveness, efficiency and satisfaction of ambulatory glucose profile (AGP) metrics

Original publication

Usability of Continuous Glucose Monitoring for Older Adults with Type 2 Diabetes: A Systematic Review. Diabetes Technol Ther. Published 8 November 2025. doi:10.1177/15209156251369021

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