{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T12:09:03Z","timestamp":1784635743051,"version":"3.55.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100014592","name":"Insulet Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014592","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ypsomed Diabetes Care"},{"name":"Medtronic Dach Region"},{"DOI":"10.13039\/100015769","name":"Dexcom","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015769","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ascensia"},{"name":"Sanofi Germany"},{"DOI":"10.13039\/100011946","name":"Abbott Diabetes Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011946","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017012","name":"Roche Diabetes Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100017012","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The number of adults with diabetes and older age is increasing, yet little is known about age-related differences in real-world diabetes technology use. This analysis examines how uptake, clinical outcomes, and user experience vary across age groups in people with type 1 or type 2 diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Self-reported data from 2056 individuals with diabetes in Germany, Austria, and Switzerland who completed the diabetes technology report 2024\/2025 survey were analyzed. Age-related trends in the use of continuous glucose monitoring (CGM), continuous subcutaneous insulin infusion (CSII), and automated insulin delivery (AID) were assessed using generalized additive and segmented logistic regression models. Outcomes included HbA1c, diabetes distress (PAID-5), severe hypoglycemia (SH), and, among AID users, satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among people with type 1 diabetes, CGM usage was consistently high across age groups (eg, 94% in 20-29 years; 92% in \u226570 years). Automated insulin delivery usage peaked in adolescents (81% in 10-19 years) and declined to 36% in adults \u226570 years. In type 2 diabetes, CGM use increased with age (48% in 35-44 years; 72% in \u226570 years). The HbA1c remained stable over the age span (\u00b10.25%). Diabetes distress declined with age (Problems Areas in Diabetes Ouestionnaire \u2013 5 Items (PAID-5): 7.8 in &lt;30 vs 4.2 in \u226570 years). The risk of SH did not increase with age; among CSII users, older participants had lower odds of SH (OR 0.03,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .001). Automated insulin delivery satisfaction was highest in adults aged 60 to 69 years (88.7\/100) and lowest in adolescents (79.1\/100).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Diabetes technologies are widely used and well tolerated across age groups. Older adults benefit comparably, but barriers to AID use remain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19322968261444045","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T10:11:21Z","timestamp":1778235081000},"page":"1106-1116","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Diabetes Technology Across the Lifespan of People With Diabetes (Ages 2-88 Years): Insights From the dt-Report on Usage Trends Across all Age Groups"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2903-2677","authenticated-orcid":false,"given":"Norbert","family":"Hermanns","sequence":"first","affiliation":[{"name":"Research Institute Diabetes Academy Mergentheim (FIDAM), Germany"},{"name":"diateam, Bad Mergentheim, Germany"},{"name":"Department of Clinical Psychology and Psychotherapy of the University of Bamberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5794-5596","authenticated-orcid":false,"given":"Dominic","family":"Ehrmann","sequence":"additional","affiliation":[{"name":"Research Institute Diabetes Academy Mergentheim (FIDAM), Germany"},{"name":"diateam, Bad Mergentheim, Germany"},{"name":"Department of Clinical Psychology and Psychotherapy of the University of Bamberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2493-1304","authenticated-orcid":false,"given":"Lutz","family":"Heinemann","sequence":"additional","affiliation":[{"name":"diateam, Bad Mergentheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6296-947X","authenticated-orcid":false,"given":"Timm","family":"Roos","sequence":"additional","affiliation":[{"name":"Research Institute Diabetes Academy Mergentheim (FIDAM), 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Medicine, Medical University of Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1123-1922","authenticated-orcid":false,"given":"Derek","family":"Brandt","sequence":"additional","affiliation":[{"name":"Diabetes Center Berne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2559-7390","authenticated-orcid":false,"given":"Cordelia","family":"Tr\u00fcmpy","sequence":"additional","affiliation":[{"name":"Diabetes Center Berne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4377-7074","authenticated-orcid":false,"given":"Lisa","family":"Margret Koch","sequence":"additional","affiliation":[{"name":"Diabetes Center Berne, Switzerland"},{"name":"Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism UDEM, Inselspital, Bern University Hospital, University of Bern, 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