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In this mixed-methods study, we explored the impact of isolation during a pandemic on diabetes management and overall quality of life in this population. Older adults (age\u2009\u2265\u200965\u00a0years) with T1D receiving care at a tertiary care diabetes center participated in semi-structured interviews during COVID-19 pandemic isolation between June and August 2020. A multi-disciplinary team coded transcripts and conducted thematic analysis. Thirty-four older adults (age 71\u2009\u00b1\u20095\u00a0years, 97% non-Hispanic white, diabetes duration of 38\u2009\u00b1\u20097\u00a0years, A1C of 7.4\u2009\u00b1\u20090.9% (57.3\u2009\u00b1\u200910.1\u00a0mmol\/mol) were recruited. Three themes related to diabetes self-care emerged regarding impact of isolation on: (1) diabetes management and self-care behaviors (how isolation prompted changes in physical activity and dietary habits); (2) emotional stress and anxiety (related to isolation and lack of support system, economic concerns); and (3) concerns regarding the COVID-19 pandemic (impact on timely medical care and access to information). Our findings identify modifiable barriers and challenges faced by older adults with T1D during isolation. As this population has a higher risk of decline in physical and psychosocial support even during non-pandemic times, clinicians will benefit from understanding these issues to improve care of this population.\n<\/jats:p>","DOI":"10.1038\/s41598-023-33746-3","type":"journal-article","created":{"date-parts":[[2023,4,29]],"date-time":"2023-04-29T09:02:29Z","timestamp":1682758949000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Self-care barriers and facilitators in older adults with T1D during a time of sudden isolation"],"prefix":"10.1038","volume":"13","author":[{"given":"Medha","family":"Munshi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Slyne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Weinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Sy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayla","family":"Sifre","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Michals","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dai\u2019Quann","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Dewar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid","family":"Atakov-Castillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saira","family":"Haque","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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CS: No conflicts of interest relevant to this article were reported. KW: No conflicts of interest relevant to this article were reported. SS: No conflicts of interest relevant to this article were reported. KS: No conflicts of interest relevant to this article were reported. AM: No conflicts of interest relevant to this article were reported. DD: No conflicts of interest relevant to this article were reported. RD: No conflicts of interest relevant to this article were reported. AAC: No conflicts of interest relevant to this article were reported. SH: Current employee and shareholder at Pfizer. SC: No conflicts of interest relevant to this article were reported. SLB: No conflicts of interest relevant to this article were reported. ET: Consultant for Medtronic.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"7026"}}