Accepted for/Published in: JMIR Diabetes
Date Submitted: Dec 13, 2021
Open Peer Review Period: Dec 13, 2021 - Dec 29, 2021
Date Accepted: Feb 2, 2022
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Continuous Glucose Monitoring Data Sharing in Older Adults with Type 1 Diabetes: A feasibility study
ABSTRACT
Background:
Family members or friends (care partners) of older adults with type 1 diabetes mellitus (T1DM) regularly become part of the diabetes care team yet often lack knowledge about how to become involved to prevent hypo- and hyperglycemia. Continuous glucose monitoring (CGM) allows a person with diabetes to see their glucose levels continuously and to receive predictive alerts. A smartphone data sharing application called the Follow app allows the person with diabetes (PWD) to share continuous glucose numbers with others and to receive predictive alerts of impending hypo- and hyperglycemia. However, there are barriers to sharing this continuous glucose level data with CPs.
Objective:
This study aimed to address the barriers to sharing CGM data. Our objective was to examine the feasibility of using CGM+Follow and a data-sharing intervention called SHARE plus in older adults with T1DM and their CPs. SHARE plus includes dyadic communication strategies, problem-solving strategies, and action planning to facilitate CGM data sharing.
Methods:
Older adults with T1DM (n=20) and their CPs (n=20) received the SHARE plus intervention at baseline. PWD wore the CGM for 12 weeks while sharing their glucose data with a CP using the Follow App. Feasibility data were analyzed using descriptive statistics.
Results:
The SHARE plus intervention was feasible, had high self-reported satisfaction for PWD and their CP, and high adherence (96±6.8%) with wearing the CGM. Broad improvements were shown in the diabetes-related quality of life using CGM in PWD and their CPs measure. Although the majority of PWD were willing to share hyperglycemia data (55%), several chose not to. The majority of PWD were willing to talk about glucose numbers with a CP (n=70%).
Conclusions:
Older adults with T1DM diabetes and their CPs identified the positives of the SHARE plus intervention as having someone else aware of glucose levels and working together with a partner on diabetes self-management. Clinicians can use these results to provide data-sharing coaching in older adults and their CPs.
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Copyright
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