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. 2024 Mar;41(3):e15261.
doi: 10.1111/dme.15261. Epub 2023 Nov 27.

Continuous glucose monitoring in older adults with diabetes: Data from the diabetes prospective follow-up (DPV) registry

Jennifer Grammes  1 , Stefanie Schmid  2   3 , Latife Bozkurt  4 , Lutz Heinemann  5 , Gregor Hess  6 , Thomas Kubiak  1 , Eva Küstner  7 , Lilli-Sophie Priesterroth  8 , Christian Stahl  9 , Reinhard W Holl  2   3 ; DPV initiative
Affiliations

Continuous glucose monitoring in older adults with diabetes: Data from the diabetes prospective follow-up (DPV) registry

Jennifer Grammes et al. Diabet Med. 2024 Mar.

Abstract

Aims: To analyse predictors for continuous glucose monitoring (CGM) use in people with diabetes aged ≥60 years using insulin therapy and to assess the rates of CGM use during recent years (2019-2021).

Research design and methods: Prospective study including 6849 individuals with diabetes and insulin therapy (type 2 diabetes: n = 5320; type 1 diabetes: n = 1529) aged ≥60 years. Data from 129 treatment centres were retrieved from the Diabetes Prospective Follow-up Registry (DPV) in March 2023.

Results: Sensor use in individuals aged ≥60 years has increased in type 1 (2019: 28%, 2020: 39%, 2021: 45%) and type 2 diabetes (2019: 10%, 2020: 16%, 2021: 18%). Predictors for sensor use in older individuals with type 1 diabetes are younger age and CSII use (p < 0.001). Predictors in older individuals with type 2 diabetes are younger age, longer diabetes duration, higher BMI and CSII use (p < 0.001).

Conclusions: CGM has become more common in older adults with diabetes and will presumably increase further. Age is a predictor for sensor use in older adults with diabetes. Age-related physical barriers and insufficient usability of devices, lack of interest in technologies, but possibly also effects of prejudice on the grounds of age may contribute to this finding.

Keywords: CGM; DPV registry; continuous glucose monitoring; elderly; type 1 diabetes; type 2 diabetes.

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References

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