{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:37:51Z","timestamp":1789663071895,"version":"4.0.1"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Endocrinology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Intermittently scanned continuous glucose monitoring (isCGM) has revolutionised the care of people with diabetes but its uptake and benefits in older adults are not well known. We examined the impact of isCGM (Freestyle Libre, FSL) on glycaemic outcomes in younger (\u2a7d65\u2009years) and older adults (&gt;65\u2009years) with diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and methods:<\/jats:title>\n                    <jats:p>In total, 2260 adult patients registered on the Libreview account at University Hospitals Birmingham NHS Foundation Trust, UK, were included. Inclusion criteria: all patients with type 1 and type 2 diabetes aged &gt;18\u2009years, use of isCGM &gt;6\u2009months, scanning at least 6 times\/day. Demographics, diabetes history and glycaemic outcomes (time in range (TIR), time above range and time below range (TBR), estimated HbA1c, HbA1c at start and at end of study) were collected by accessing electronic patient records and Libreview. Outcomes were compared between age groups \u2a7d65 or &gt;65\u2009years old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most patients were of Caucasian ethnicity (\u2a7d65\u2009years 68%, &gt;65\u2009years 73%) and had type 1 diabetes. Mean duration of diabetes was 19.5\u2009years (range 0\u201365\u2009years) and 34.5\u2009years (range 0\u201379\u2009years) for \u2a7d65 and &gt;65\u2009years, respectively. Only a quarter of those \u2a7d65\u2009years achieved (219\/943; 23.2%) their age specific TIR target compared to 69% (78\/113) of those &gt;65\u2009years cohort, while 70.1% (663\/946) of \u2a7d65\u2009years and 40.7% (46\/113) of &gt;65\u2009years achieved their age-specific TBR target. When the less strict \u2a7d65\u2009years TBR target was applied, 75% (85\/113) of &gt;65\u2009years cohort achieved this.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>FSL use was associated with improved glycaemic outcomes across all age groups. Individualised targets may be needed to improve TBR in those aged &gt;65\u2009years.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20420188241269133","type":"journal-article","created":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T18:43:04Z","timestamp":1724265784000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Glycaemic outcomes in people living with diabetes under 65 and over 65\u2009years old using an intermittently scanned continuous glucose monitoring system"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6880-2689","authenticated-orcid":false,"given":"Carol","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"De Bray","sequence":"additional","affiliation":[{"name":"Centre for Endocrinology, Diabetes and Metabolism, University of Birmingham, Birmingham, UK"},{"name":"Oxford Centre for Diabetes, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naeem","family":"Ul Hassan","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Almohandes","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyi Zin","family":"Thant","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Gill","sequence":"additional","affiliation":[{"name":"Birmingham Medical School, University of Birmingham, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayna","family":"Gill","sequence":"additional","affiliation":[{"name":"Birmingham Medical School, University of Birmingham, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayley","family":"Forsdick","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan J","family":"Sinclair","sequence":"additional","affiliation":[{"name":"King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Ali","family":"Karamat","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"},{"name":"Centre for Endocrinology, Diabetes and Metabolism, University of Birmingham, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srikanth","family":"Bellary","sequence":"additional","affiliation":[{"name":"Aston University, Aston Triangle, Birmingham B4 7ET, UK"},{"name":"University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,20]]},"reference":[{"key":"bibr1-20420188241269133","doi-asserted-by":"crossref","unstructured":"Hirsch IB. 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London: The British Diabetic Association operating as Diabetes UK, https:\/\/www.diabetes.org.uk\/guide-to-diabetes\/managing-your-diabetes\/testing\/flash-glucose-monitoring (2022, accessed 23 September 2021)."},{"key":"bibr8-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1177\/1479164119827456"},{"key":"bibr9-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-016-0223-6"},{"key":"bibr10-20420188241269133","doi-asserted-by":"publisher","DOI":"10.2337\/dc19-1610"},{"key":"bibr11-20420188241269133","doi-asserted-by":"publisher","DOI":"10.2337\/db20-85-LB"},{"key":"bibr12-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-019-4894-1"},{"key":"bibr13-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-017-4527-5"},{"key":"bibr14-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2019-001115"},{"key":"bibr15-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-007-0599-y"},{"key":"bibr16-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2013-1589"},{"key":"bibr17-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2012.03681.x"},{"key":"bibr18-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1985.tb04890.x"},{"key":"bibr19-20420188241269133","doi-asserted-by":"publisher","DOI":"10.2337\/diab.43.3.403"},{"key":"bibr20-20420188241269133","doi-asserted-by":"publisher","DOI":"10.2337\/diabetes.51.3.724"},{"key":"bibr21-20420188241269133","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-2480"},{"key":"bibr22-20420188241269133","doi-asserted-by":"publisher","DOI":"10.2337\/diaspect.27.1.9"},{"key":"bibr23-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.6928"},{"key":"bibr24-20420188241269133","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-1384"},{"key":"bibr25-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-018-4668-1"},{"key":"bibr26-20420188241269133","unstructured":"National Institute for Health and Care Excellence. Type 2 diabetes in adults: management (NICE Guidelines 28). https:\/\/www.nice.org.uk\/guidance\/ng28 (2015, accessed 1 September 2022)."},{"key":"bibr27-20420188241269133","doi-asserted-by":"publisher","DOI":"10.2337\/dci19-0028"},{"key":"bibr28-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2013-1589"},{"key":"bibr29-20420188241269133","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-0610"},{"key":"bibr30-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1177\/1932296817704445"},{"key":"bibr31-20420188241269133","unstructured":"Fat LN, Neave A. Health survey for England 2019 adults\u2019 health, NHS digital, 2020 Health and Social Care Information Centre. https:\/\/files.digital.nhs.uk\/23\/6B5DEA\/HSE19-Adult-health-rep.pdf (2020, accessed 29 November 2022)."},{"key":"bibr32-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-019-00720-0"},{"key":"bibr33-20420188241269133","unstructured":"National Institute for Health and Care Excellence. FreeStyle Libre for glucose monitoring [Internet]. NICE: London. https:\/\/www.nice.org.uk\/advice\/mib110 (2017, accessed 1 September 2022)."},{"key":"bibr34-20420188241269133","unstructured":"NHS England. Glucose monitoring for patients living with diabetes. NHS England 2020. https:\/\/www.england.nhs.uk\/diabetes\/digital-innovations-to-support-diabetes-outcomes\/flash-glucose-monitoring\/ (2020, accessed 1 September 2022)."},{"key":"bibr35-20420188241269133","unstructured":"NHS England. 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English indices of deprivation 2019 [Internet] Gov.uk. https:\/\/www.gov.uk\/government\/statistics\/english-indices-of-deprivation-2019 (2019, accessed 10 July 2022)."},{"key":"bibr37-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13895"},{"key":"bibr38-20420188241269133","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14433"}],"container-title":["Therapeutic Advances in Endocrinology and Metabolism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20420188241269133","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20420188241269133","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20420188241269133","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:36:36Z","timestamp":1777592196000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20420188241269133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":38,"alternative-id":["10.1177\/20420188241269133"],"URL":"https:\/\/doi.org\/10.1177\/20420188241269133","relation":{},"ISSN":["2042-0188","2042-0196"],"issn-type":[{"value":"2042-0188","type":"print"},{"value":"2042-0196","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"20420188241269133"}}