The Growing Role of Technology in the Care of Older Adults With Diabetes

Author:

Huang Elbert S.1ORCID,Sinclair Alan2ORCID,Conlin Paul R.34ORCID,Cukierman-Yaffe Tali567ORCID,Hirsch Irl B.8ORCID,Huisingh-Scheetz Megan1,Kahkoska Anna R.9ORCID,Laffel Lori10ORCID,Lee Alexandra K.11ORCID,Lee Sei11,Lipska Kasia12ORCID,Meneilly Graydon13,Pandya Naushira14ORCID,Peek Monica E.1,Peters Anne15,Pratley Richard E.16,Sherifali Diana17ORCID,Toschi Elena10ORCID,Umpierrez Guillermo18ORCID,Weinstock Ruth S.19ORCID,Munshi Medha10ORCID

Affiliation:

1. 1University of Chicago, Chicago, IL

2. 2King’s College, London, U.K.

3. 3Harvard Medical School, Boston, MA

4. 4Veteran Affairs Boston Healthcare System, Boston, MA

5. 5Division of Endocrinology, Diabetes, and Metabolism, Ramat Gan, Israel

6. 6Sheba Medical Centre, Ramat Gan, Israel

7. 7Epidemiology Department, Sackler Faculty of Medicine, Herczeg Institute on Aging, Tel Aviv University, Tel Aviv, Israel

8. 8University of Washington, Seattle, WA

9. 9University of North Carolina Chapel Hill, Chapel Hill, NC

10. 10Joslin Diabetes Center, Boston, MA

11. 11University of California San Francisco, San Francisco, CA

12. 12Yale University, New Haven, CT

13. 13University of British Columbia, Vancouver, British Columbia, Canada

14. 14Department of Geriatrics, Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Ft. Lauderdale, FL

15. 15University of Southern California, Los Angeles, CA

16. 16AdventHealth Diabetes Institute, AdventHealth Translational Research Institute, AdventHealth, Orlando, FL

17. 17McMaster University, Hamilton, Ontario, Canada

18. 18Emory University, Atlanta, GA

19. 19SUNY Upstate Medical University, Syracuse, NY

Abstract

The integration of technologies such as continuous glucose monitors, insulin pumps, and smart pens into diabetes management has the potential to support the transformation of health care services that provide a higher quality of diabetes care, lower costs and administrative burdens, and greater empowerment for people with diabetes and their caregivers. Among people with diabetes, older adults are a distinct subpopulation in terms of their clinical heterogeneity, care priorities, and technology integration. The scientific evidence and clinical experience with these technologies among older adults are growing but are still modest. In this review, we describe the current knowledge regarding the impact of technology in older adults with diabetes, identify major barriers to the use of existing and emerging technologies, describe areas of care that could be optimized by technology, and identify areas for future research to fulfill the potential promise of evidence-based technology integrated into care for this important population.

Funder

U.S. Department of Veterans Affairs

National Center for Advancing Translational Sciences

National Institute of Diabetes and Digestive and Kidney Diseases

National Institute on Aging

Publisher

American Diabetes Association

Subject

Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine

Reference76 articles.

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2. Centers for Disease Control and Prevention . National Diabetes Statistics Report website. Accessed 27 April 2023. Available from https://www.cdc.gov/diabetes/data/statistics-report/index.html

3. Management of diabetes in long-term care and skilled nursing facilities: a position statement of the American Diabetes Association;Munshi;Diabetes Care,2016

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