Enhancing Shared Decision-making to Guide Care for People With Dementia and Diabetes

Aim 1: Characterize shared decision-making and unmet patient-caregiver dyads needs for patients with diabetes and Alzheimer's Disease and related dementias (ADRD) while using a continuous glucose monitoring (CGM) device.Aim 2: Develop an interactive tool to enhance shared decision-making for diabetes management.

Patient-Caregiver Dyad Inclusion Criteria (Aims 1 + 2):patient must have dual diagnosis of MCI or ADRD and diabetes (DM)patient must have active prescriptions for DMpatient must have had at least one visit to an Eskenazi or IU Health primary care clinic within 12 monthspatient must be able to provide assent and have a legally authorized representative (LAR) consent on their behalf if patient lacks capacity to consentpatient must have a caregiver aged 18 years or older who interacts daily, or almost daily, with the patientpatient and caregiver must both speak Englishpatient and caregiver must both reside in the communitydyad must have internet accessPatient-Caregiver Dyad Exclusion Criteria (Aims 1 +2):patient has terminal illnesspatient has prior use of CGM devicepatient is receiving dialysispatient is taking ascorbic acid during monitoring periodpatient has existing implanted medical devicespatient has a bleeding disorderpatient has a pre-existing arm skin lesionspatient has an allergy to medical adhesive or isopropyl alcoholpatient has plans for imaging or diathermy treatment during the study periodClinician Participant Inclusion Criteria (Aim 2):primary care physiciansnursespharmacistsnutritionistspsychologistsmedical residentsClinician Participant Exclusion Criteria (Aim 2):only treats patients younger than 65 yearsdoes not manage patients' DM