Using advanced diabetes technologies in patients with dementia in assisted living facilities: Case studies

• Main Authors: Nancy A. Allen, Michelle L. Litchman, Alisyn L. May
• Format: Article
• Language: English
• Published: Taylor & Francis Group 2017-01-01
• Series: Cogent Medicine
• Subjects: caregivers; technology; assisted living facility < long-term care; dementia < neurological disorders
• Online Access: http://dx.doi.org/10.1080/2331205X.2017.1411632

Introduction: Older adults with dementia and diabetes are at increased risk of complications, hospitalizations, and adverse events. This vulnerable patient population may have high glucose variability and an increased risk of low and high glucose numbers. Diabetes technology exists, including insulin pumps and continuous glucose monitors, which may be effective in optimally managing blood sugar in this patient population. Case Presentation: We detail two older adults with diabetes living in assisted living facilities. The first case study describes the successful use of an insulin pump in an older adult with type 1 diabetes and dementia. The second case study demonstrates successful use of continuous glucose monitoring in an older adult with type 1 diabetes and dementia. Discussion: These case studies provide initial evidence that insulin pump and continuous glucose monitoring technologies can successfully be used by older adults with dementia and used to assist in diabetes management in an assisted living facility. Clinical Implications: Use of wearable diabetes technology improves the care of patients with diabetes. These case studies demonstrate initial evidence supporting improvement in the care of older adults with diabetes by the use of technology.