Table 1:

Diabetes Technology systems: Benefits and Challenges in Aging Population

Technology Systems:	Benefits in Older Adults	Challenges in Older Adults
Insulin administration systems
Pump or CSII:	Reduce hypoglycemia Improve A1c Availability of bolus calculators Smaller accurate doses Keep track of active insulin Downloadable reports	Maintenance in context of getting and changing various parts Need for intact dexterity High cost Visual Impairment Burden/ Negative impact on Quality of Life
Bluetooth-enabled insulin pen:	Bolus calculator Keep track of active insulin Downloadable reports Useful to assess adherence	Maintenance in context of changing cartridges Need for dexterity High cost Visual Impairment
Monitoring systems
CGM	Reduce hypoglycemia Reduce glucose variability Improve glucose control Reduce need for fingersticks measurement Downloadable reports Alarm/alerts are available in most SHARE feature can help involve caregivers	Maintenance in context of changing sensor Need for dexterity High cost Visual impairment Hearing impairment Perception of data overload causing anxiety Alarm/alert fatigue
Hybrid Systems	Reduce hypoglycemia Reduce glucose variability Improve glucose control Downloadable reports Alarm/alert	Maintenance in context of many parts need replacement Need for dexterity Very high cost Visual impairment Hearing impairment Perception of data overload causing anxiety Alarm/alert fatigue