Evidence map›Paper›PMID 38454549›Full record

ReviewJournal of diabetes science and technology2024

Continuous Glucose Monitoring in Older Adults: What We Know and What We Have Yet to Learn.

Catherine Price, Kathryn E Callahan, Joseph A Aloi, Chinenye O Usoh

Abstract readReview
In one paragraph

Review in Journal of diabetes science and technology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Catherine PriceSection on Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, School of Medicine, Wake Forest University, Winston-Salem, NC, USA.ORCID 0000-0001-7555-3855
Kathryn E CallahanSection on Gerontology and Geriatric Medicine, Department of Internal Medicine, School of Medicine, Wake Forest University, Winston-Salem, NC, USA.
Joseph A AloiSection on Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, School of Medicine, Wake Forest University, Winston-Salem, NC, USA.ORCID 0000-0001-7849-2058
Chinenye O UsohSection on Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, School of Medicine, Wake Forest University, Winston-Salem, NC, USA.ORCID 0000-0002-0697-9753

Funding

Identifying Frailty in Primary Care: Implementation of an Electronic Medical Record-based Frailty IndexK76AG059986 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CALLAHAN, KATHRYN · 2018 to 2022
$1.2M
NIA NIH HHS K76 AG059986
6 · The paper itself

Abstract

objectiveTo assess the growing use of continuous glucose monitoring (CGM) systems by older adults and explore additional areas integration that could benefit adults with frailty.

backgroundThe use of CGM devices has expanded rapidly in the last decade. This has been supported by substantial data showing significant benefit in glycemic metrics: hemoglobin A1c improvements, less hypoglycemia, and improved quality of life. However, sub-populations, such as older persons, exist where available data are limited. Furthermore, frail older adults represent a heterogeneous population with their own unique challenges to the management of diabetes. This group has some of the poorest outcomes related to the sequela of diabetes. For example, hypoglycemia resulting in significant morbidity and mortality is more frequent in older person with diabetes than in younger persons with diabetes.

methodWe present a concise literature review on CGM use in the older adult as well as expand upon glycemic and nonglycemic benefits of CGM for patients, caregivers, and providers. Retrospective analysis of inpatient glycemic data of 16,935 older adults with Type 2 diabetes mellitus at Atrium Health Wake Forest Baptist indicated those with fraility managed with insulin or sulfonylurea had the highest rates of delirium (4.8%), hypoglycemia (3.5%), cardiovascular complications (20.2%) and ED visits/hospitalizatoins (49%). In addition, we address special consideration of specific situations including inpatient, palliative and long term care settings.

conclusionThis review article summarizes the available data for CGM use in older adults, discusses the benefits and obstacles with CGM use in this population, and identifies areas of future research needed for improved delivery of care to older persons with diabetes.

Indexed as

Continuous Glucose MonitoringDiabetes Mellitus, Type 2AgedAged, 80 and overBlood GlucoseFemaleFrail ElderlyGlycated HemoglobinGlycemic ControlHumansHypoglycemiaHypoglycemic AgentsMaleBlood GlucoseGlycated HemoglobinHypoglycemic Agentscontinuous glucose monitordiabetes mellitusglycemic managementinpatientolder adults

Identifiers

PMID38454549
PMCPMC11089865

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.