Getting Help at Home: Services for Aging Adults with Type 1 Diabetes

If you’re hoping to stay in your own home as long as possible (aging in place), there are a growing number of services that can support you in managing your diabetes safely and effectively. Here are some to consider:

Home Health Services

These are medical services delivered at home, often covered by Medicare with a doctor’s order. They can include:

• Nursing visits for blood sugar checks, medication management, and wound care
• Education on insulin use, CGMs, and nutrition
• Coordination with your endocrinologist or primary care team

Tip: Ask your doctor for a referral to a home health agency that has experience with diabetes care—especially T1D.

Private Duty Nursing or Aides

If you need more help than Medicare covers, private agencies offer:

• Help with injections, pump site changes, CGM setup
• Assistance with daily tasks like meals, hygiene, and mobility
• Companionship and overnight support (especially important for nighttime lows)

Look for caregivers trained in chronic condition management, or ask if the agency provides specific diabetes training.

Other Helpful Resources

• Visiting Diabetes Educators: Some Certified Diabetes Care and Education Specialists (CDCES) offer in-home or virtual coaching.
• Telehealth Programs: Many endocrinology clinics now offer virtual visits with diabetes educators and tech support.
• Aging Services Agencies: Local Area Agencies on Aging (AAA) can connect you with transportation, meal delivery, and caregiver support. Find your local AAA here.
• PACE Programs (Program of All-Inclusive Care for the Elderly): If available in your area, PACE offers comprehensive medical and support services, including diabetes care, often at low or no cost. Learn more about PACE.

Last updated 09/28/2025.