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
BACKGROUND: 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. METHODS: 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. RESULTS: = .001). Automated insulin delivery satisfaction was highest in adults aged 60 to 69 years (88.7/100) and lowest in adolescents (79.1/100). CONCLUSIONS: Diabetes technologies are widely used and well tolerated across age groups. Older adults benefit comparably, but barriers to AID use remain.
Authors
- Peter Diem (ORCID: https://orcid.org/0000-0002-1190-9880)
- Dominic Ehrmann (ORCID: https://orcid.org/0000-0002-5794-5596)
- Lisa M. Koch (ORCID: https://orcid.org/0000-0003-4377-7074)
- Derek Brandt
- Michael Resl (ORCID: https://orcid.org/0000-0002-1702-8945)
- Lutz Heinemann (ORCID: https://orcid.org/0000-0003-2493-1304)
- Maria L. Balmer (ORCID: https://orcid.org/0000-0003-0356-6352)
- Timm Roos (ORCID: https://orcid.org/0000-0002-6296-947X)
- Cordelia Truempy (ORCID: https://orcid.org/0009-0000-2559-7390)
- Julia K. Mader (ORCID: https://orcid.org/0000-0001-7854-4233)
- Norbert Hermanns (ORCID: https://orcid.org/0000-0002-2903-2677)
- Bernhard Kulzer (ORCID: https://orcid.org/0000-0001-9120-4479)
- Francesco Javier Ampudia-Blasco (ORCID: https://orcid.org/0000-0003-0221-0901)
Institutions
- University of Bern (CH)
- Medical University of Graz (AT)
- German Diabetes Center Mergentheim (DE)
- Diabetes Australia (AU)
- University Hospital of Bern (CH)
- Hospital Clínico Universitario de Valencia (ES)
- Convent Hospital of the Brothers of Saint John of God (AT)
- Forschungsinstitut der Diabetes Akademie Mergentheim (DE)
- Kantonsarchäologie (CH)
- University of Bamberg (DE)
Publication Details
- Journal
- Journal of Diabetes Science and Technology
- Published
- 2026-05-08
- DOI
- https://doi.org/10.1177/19322968261444045
- Primary Topic
- Diabetes Management and Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Insulet Corporation
- Dexcom
- Roche Diabetes Care
- Abbott Diabetes Care