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Technology Integration

(D19) Diabetes Technology in Youth and Older Adults: Practical Considerations for Care Teams

Sunday, August 9, 2026
1:55 PM - 2:40 PM ET
CE: .75 CE

This session highlights CDCES-led approaches to initiating and sustaining diabetes technology use in youth and older adults, emphasizing remote education, monitoring, and caregiver engagement. The first presentation describes the 4T Program, which initiates CGM early after diagnosis, encourages timely automated insulin delivery adoption, and uses remote patient monitoring to guide insulin dose adjustments. CDCES workflows, dosing policies, and caregiver engagement will be discussed. The second presentation described the REST study - a 6-month intervention in adults ≥65 years on complex insulin regimen - combining remote CGM education with geriatrics-informed care, individualized goals, regimen simplification, and caregiver involvement. Key enablers, challenges, and time considerations will be shared.

Learning Objectives:

At the completion of this activity, participants should be able to:
  • Describe CDCES-led workflows advancing technology use to manage recently diagnosed T1D and in older adults on insulin using remote education.
  • Apply pediatric dosing policies for age-specific diabetes management strategies, including geriatric principles, to support efficacious insulin dose adjustments between appointments.
  • Identify challenges and CDCES-led strategies for remote onboarding and sustained use of diabetes technologies in youth, older adults, and caregivers.
Disclosure(s):
Jeannine C. Leverenz, MS, RN, CDCES: No financial relationships to disclose
Elena Toschi, MD: Vertex Pharmaceuticals: Consultant / Advisory Board (Ongoing)
Belinda Matthews, RD, LD, CDCES: No financial relationships to disclose

    Primary Presenter(s)

  • Jeannine C. Leverenz, MS, RN, CDCES (she/her/hers)

    Certified Diabetes Care and Education Specialist
    Pediatric Endocrinology, SOM, Stanford University

    Disclosure(s): No financial relationships to disclose

    • Co-Presenter(s)

  • Elena Toschi, MD

    Director of the Young Adult Program, Assistant Professor
    Joslin Diabetes Center, Harvard Medical School

    Disclosure(s): Vertex Pharmaceuticals: Consultant / Advisory Board (Ongoing)

  • Belinda Matthews, RD, LD, CDCES

    VP of Clinical Services
    Cecelia Health

    Disclosure(s): No financial relationships to disclose