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. 2021 Oct;39(4):397-410.
doi: 10.2337/cd20-0129.

Older People With Type 2 Diabetes-Individualising Management With a Specialised Community Team (OPTIMISE): Perspectives of Participants on Care

Rajna Ogrin  1 , Tracy Aylen  1 , Lorenna Thurgood  1 , Sandra L Neoh  2 , Ralph Audehm  3 , Paul Steel  1 , Leonid Churilov  4 , Jeffrey Zajac  3   5 , Elif I Ekinci  3   5
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Older People With Type 2 Diabetes-Individualising Management With a Specialised Community Team (OPTIMISE): Perspectives of Participants on Care

Rajna Ogrin et al. Clin Diabetes. 2021 Oct.

Abstract

Despite the high prevalence of diabetes in older people, there is limited information on optimal methods to support their diabetes management, including how to incorporate technology. This article reports on the results of semi-structured interviews with 41 adult participants with type 2 diabetes (mean age 74 ± 7 years) on their perspectives of a new model of care (the Older People With Type 2 Diabetes-Individualising Management With a Specialised Community Team [OPTIMISE] program) for older people with type 2 diabetes. The OPTIMISE program involved telemedicine consultations, home visits by a credentialed diabetes educator, and intermittent flash glucose monitoring. Human connection and relationships were key to the positive perspectives expressed by participants in this program that used technology to enhance the care of older people in their homes.

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Figures

FIGURE 1
FIGURE 1
OPTIMISE study flowchart.
FIGURE 2
FIGURE 2
Themes and subthemes drawn from participant interviews.
FIGURE 3
FIGURE 3
Positive perceptions of care by older people with diabetes comes from health care providers having attributes necessary to build a positive relationship and from being treated as equals in this relationship. Technology and organizational supports are additional enablers of positive perceptions of care.
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