Union City

This research aims to improve diabetes care for older adults aged 75 and above who have type 2 diabetes and require insulin therapy. These individuals are at high risk for severe hypoglycemia, which can lead to serious complications like hospitalization or death. The study evaluates a new strategy that combines education with continuous glucose monitoring CGM to help reduce episodes of severe low blood sugar. Participants are randomly assigned to one of two groups one group takes part in three educational sessions that teach how to use CGM devices and prevent hypoglycemia based on CGM data and personal logs the other group continues their usual care without CGM. The study compares these approaches over time to see if the educational program with CGM support can better prevent dangerous low blood sugar events. During the study, participants undergo assessments at 6 and 12 months to track hypoglycemia events, healthcare use related to hypoglycemia, and patient-reported measures of diabetes distress, fear of hypoglycemia, and confidence in managing low blood sugar. The research team uses surveys and clinical data to evaluate the effectiveness of the intervention, aiming to support safer insulin use in this vulnerable population.