Using Continuous Glucose Monitoring and Data Sharing to Encourage Collaboration Among Older Adults With Type 1 Diabetes and Their Care Partners: Qualitative Descriptive Study.
Alycia A Bristol, Michelle Litchman, Cynthia Berg and 5 others
PMID 37494110WHAT IT FOUND
Ten older-adult diabetes/care-partner pairs described moving from seeing diabetes management as one person's job to shared responsibility.
They also described alarm nagging and blaming, then discussed ways to monitor and respond to glucose alerts.
Key findings
01During sessions, most persons with diabetes described diabetes management as their own issue, while care partners described a supportive role.
02In follow-up interviews, dyads reported changing from independent appraisal to shared responsibility and increased awareness of glucose trends.
03Some care partners used alarms or blaming instead of supportive communication.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 10 dyads were studied, and all participants were White, so the findings may not apply to other groups. The sample was mostly spouses, with only one parent-child dyad, so it says little about other care-partner relationships. One dyad did not complete the postintervention interview, so follow-up experiences were not available for all dyads. Persons with diabetes had relatively high cognitive screening scores, with only two below 26, so people with more severe cognitive impairment were not represented. The study did not measure glucose control, hypoglycemia, falls, relationship quality, or safety outcomes, so it cannot show that the intervention improved those outcomes. Because it is qualitative and small, reported changes are participants' descriptions, not tested effects. Persons with diabetes and care partners with poor relationships may have been less likely to volunteer.
Declared interests
No conflicts of interest were declared. Participants received US $30 gift cards at the beginning, day 10, and the end, totaling US $90 for each person with diabetes and each care partner.
The easy way to misread this
Do not read this as evidence that continuous glucose monitoring data sharing or the Share plus program improves glucose control, reduces hypoglycemia, or strengthens relationships. It is a small qualitative study of 10 dyads' reported experiences, with no outcome comparison.