Bridging the digital divide: student-led literacy initiatives in diabetes management

The rapid advancement of digital health technologies-such as continuous glucose monitors, automated insulin delivery systems, and telehealth platforms-has transformed diabetes management. However, a persistent digital divide continues to amplify health disparities based on socioeconomic status, geography, and age. Generational gaps are especially notable. "Digital immigrants" (older adults) often face significant barriers to technology adoption, such as reduced digital literacy, lower smartphone ownership, and difficulties using remote care platforms. Individuals aged 80 and above have much lower uptake of continuous glucose monitors and telemedicine, even when cost is not a barrier. Health literacy and language challenges further increase the impact and reduce the use of digital health tools among older adults. In contrast, "digital natives"-younger generations with strong technological skills-are well positioned to help bridge this divide. This mini-review summarizes current evidence on disparities in digital diabetes care and proposes an innovative, student-led solution. We advocate for empowering digital native health sciences students to lead digital health literacy initiatives and serve as technology mentors for both patients and clinicians. By establishing student-led digital literacy centers, academic institutions can promote intergenerational collaboration. This approach can turn the generational divide from a barrier into an opportunity. Ultimately, student-led initiatives offer a sustainable, community-based pathway to equitable adoption of digital diabetes technologies and improved health outcomes.