Table A3.

Suggestions for Topics Covered in Provider Facilitated Older Adult Support Groups

Topic	Description
Type 1 Diabetes and Aging	A general overview on the effect that aging has on type 1 diabetes management. Older adults share of experiences, challenges and strategies to manage changes with age.
Device Placement	Challenges and best practices for device placement using older adult models, including considerations for different types of age-related impairments. In addition to advice about where to place sensors, address how to deal with bleeding or keeping sensors on.
Integration of CGM into Lifestyle	Tips for using CGM to suit activities of daily living, including different alert options for sleep and social situations, other technology available to integrate with CGM, data sharing options, planning for routine medical procedures, navigating travel (e.g., supply planning, using security checkpoints in airports).
How to Interpret and Respond to CGM	How to interpret data output, including different error messages, and suggestions for how to respond based on data output and activity.
Diabetes Supply Management	Strategies for ensuring there are enough supplies to last, balancing cost/insurance issues, rules and paperwork, and the utility of customer support to address barriers. Include overview of current Medicare rules regarding devices and supplies.
Hypoglycemia Management	Older adults discuss various strategies they have developed to prevent and treat low blood sugars across activities of daily living.
Advocating for Oneself in Different Spaces	Experiences as older adult with type 1 diabetes in the workplace, at clinician offices, in the hospital (e.g., with inpatient health care team to maintain glycemic management once admitted), and other public places. Older adults share ways of managing challenges.
Caregiver Roles	Older adults discuss various ways that caregivers challenge and benefit their diabetes management. Separate informational and behavioral groups include caregiver-older adult dyads to develop dyad-specific support activities that minimize interpersonal conflict and the diminution of older adult autonomy.