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A Method for Manipulating Blood Glucose and Measuring Resulting Changes in Cognitive Accessibility of Target Stimuli

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Considerations With Using a CGM in Older Individuals.

Maria Tadros¹, Hayley Sewell¹, Katherine S O'Neal¹

¹University of Oklahoma College of Pharmacy, Oklahoma City, Oklahoma.

The Senior Care Pharmacist

|July 5, 2025

Summary

Continuous glucose monitoring (CGM) offers benefits for older adults with diabetes, but barriers like cost and technology access exist. Education and support systems can help overcome these challenges, improving diabetes management.

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Area of Science:

Endocrinology
Geriatrics
Medical Technology

Background:

Continuous glucose monitors (CGMs) have advanced significantly, becoming vital for diabetes management.
Despite benefits, older adults face barriers to CGM adoption and consistent use.

Purpose of the Study:

To identify common barriers hindering CGM use in older adults.
To present strategies for overcoming these barriers and facilitating CGM adoption.

Main Methods:

PubMed search using keywords related to CGM, type 2 diabetes, limitations, adherence, and elderly patients.
Review of guidelines from the American Diabetes Association (ADA) and American Association of Clinical Endocrinology (AACE).

Main Results:

Key barriers include cost/insurance, low health literacy/numeracy, technophobia, and lack of experience.
Assistance programs and hands-on education improve user ability, confidence, and willingness.

Conclusions:

CGMs empower older adults by providing real-time glucose data for medication adjustment and complication prevention.
Addressing individual barriers through tailored support and education is crucial for optimizing CGM benefits.