Aging Behavior Research Articles

Medical Equipment Aging

As demonstrated in the first article of this series, some medical equipment types exhibit clear, progressive deterioration with age, whereas some others do not. Regardless of its aging behavior, equipment will eventually be replaced and disposed of for a variety of reasons—eg, its repair cost has become unjustifiable, it is no longer possible to repair, or its usefulness has been superseded by newer technologies. Although it is not possible to pinpoint the exact cause of each replacement or disposal, it is useful to understand when such action takes place during the equipment’s lifespan because this can help healthcare delivery organizations to better plan and conserve its capital resources while satisfying the needs and desires of their staff to provide safe and high-quality care. The results of an analysis of the disposal pattern of ~340 thousand pieces of equipment in the period of 30+ years show age is not the primary determinant for replacement or disposal. Most equipment is deployed well past the respective depreciation period and the end-of-life or end-of-support dates declared by their respective manufacturers, without significant negative impacts on patient care. In fact, the life expectancies estimated from the disposal data are typically double of American Hospital Association’s estimated useful lives. Such accomplishment is a testimony of the extraordinary efforts made by clinical engineering/healthcare technology management professionals in keeping equipment safe and reliable in the most cost-effective manner for a very long time.

The Effects of Health Promotion Program on Healthy Aging, Wellbeing and Health Promoting Behaviour among Community Dwelling Older Adults

The Effects of Health Promotion Program on Healthy Aging, Wellbeing and Health Promoting Behaviour among Community Dwelling Older Adults

Distributed fiber optic strain sensing for structural health monitoring of 70 MPa hydrogen vessels

We report on the development and testing of 70 MPa hydrogen pressure vessels with integrated fiber optic sensing fibers for the automotive use. The paper deals with the condition monitoring of such composite pressure vessels using the optical backscatter reflectometry (OBR) which was applied for a distributed fiber optic strain sensing along fully integrated polyimide-coated single-mode glass optical fiber (SM-GOF). The sensing fibers were embedded into the vessel structure by wrapping them over the inside polymer liner during the manufacturing process of the outside carbon fiber reinforced polymer (CFRP). Detecting local strain events by the integrated fiber optic sensors might be an opportunity for monitoring the material degradation. Regarding the investigation of the ageing behavior, both ambient hydraulic cycling tests and slow burst tests were conducted on 70 MPa pressure vessels with embedded fiber optic sensors. The achieved results contribute to the knowledge about material fatigue to guarantee the safe usage during the entire lifetime of the composite hydrogen storage vessels. The presented work stands in context of the European Horizon 2020 research project SH2APED focused on the development of an innovative hydrogen storage system composed of an assembly of nine 70 MPa tubular pressure vessels used as an automotive battery pack.

Enhanced energy storage properties promoted by the synergistic effects of aging effects and relaxor behavior in Ce–Mn co-doped Sr0.4Ba0.6Nb2O6 ferroelectric ceramics

In this work, Ce–Mn co-doped Sr0.4Ba0.6Nb2O6 ferroelectric ceramics were prepared by the conventional solid state reaction method. Aging effects induced by acceptor doping and relaxor behavior induced by donor doping were achieved simultaneously in Sr0.4-3x/2Ba0.6Cex(Nb0.96Mn0.04)2O6 (SBN40–4Mn-xCe) ceramics. The results show that the doping of Ce ions enters into the lattice of SBN and substitute the Sr ions, which give rise to the cell volume decreasing. The diffuseness fitting results suggest that all the co-doped samples own the relaxor characteristic. The polarization electric (P-E) loops of aged SBN40–4Mn-xCe ceramics presents constricted tendency and slimmer shape at the mean time. As a result, the Pmax-Pr values of the aged samples are higher than that of unaged samples and get an enhanced energy storage performance, which are benefited from the synergistic effects of aging effects and relaxor behavior. The composition of x = 0.04 obtained the maximum Wrec with 0.90 J/cm3 and η with 89 % after aging. Therefore, the current work may provide some guidance for improving the energy storage performance from the perspective of changing the shape of P-E loop by inducing aging behavior and relaxor behavior simultaneously.

Chemically reactive and aging macromolecular mixtures. I. Phase diagrams, spinodals, and gelation

Multicomponent macromolecular mixtures often form higher-order structures, which may display non-ideal mixing and aging behaviors. In this work, we first propose a minimal model of a quaternary system that takes into account the formation of a complex via a chemical reaction involving two macromolecular species; the complex may then phase separate from the buffer and undergo a further transition into a gel-like state. We subsequently investigate how physical parameters such as molecular size, stoichiometric coefficients, equilibrium constants, and interaction parameters affect the phase behavior of the mixture and its propensity to undergo aging via gelation. In addition, we analyze the thermodynamic stability of the system and identify the spinodal regions and their overlap with gelation boundaries. The approach developed in this work can be readily generalized to study systems with an arbitrary number of components. More broadly, it provides a physically based starting point for the investigation of the kinetics of the coupled complex formation, phase separation, and gelation processes in spatially extended systems.

Digital Twin‐Assisted Degradation Diagnosis and Quantification of NMC Battery Aging Effects During Fast Charging

AbstractA comprehensive understanding of aging mechanisms and degradation diagnosis under fast charging in battery electric vehicles is needed. However, there is a lack of tools to capture both macroscopic and microscopic parameters, still focusing on experiment results analysis. To get a comprehensive degradation insight for improved service life, this study explores aging mechanisms in LiNi0.5Co0.2Mn0.3O2 graphite batteries under different fast charging conditions (0.6C to 2C) for up to 1000 equivalent full cycles (EFCs). An improved digital twin is used to quantify aging effects and identify aging modes, combining electrochemical techniques with post‐mortem analysis for assessing chemical and structural degradation. After 1000 EFCs, the dominant aging modes are loss of active material (LAM) in the negative electrode and loss of lithium inventory (LLI), surpassing LAM in the positive electrode. Compared to constant current charging, multistep fast charging effectively mitigates Li plating effects and graphite cracking, resulting in a 13% reduction in LAM. Additionally, optimizing the depth of discharge leads to at least 4% reductions in LLI and 16% in LAMpos. This study proves the electrochemical digital twin's potential for quantifying aging effects and serves as a basis for future physics‐informed machine learning to predict aging behavior and modes.

The phase transformation and enhancing mechanical properties in high Zn/Mg ratio Al–Zn–Mg–Cu(-Si) alloys

Aging behavior and phase transformation of Al–5Zn–1Mg–1Cu(-Si) alloys under different isothermal temperatures were investigated using transmission electron microscope (TEM) and mechanical tests. The aging temperature and Si addition significantly influenced to the types of precipitated phases and mechanical properties of the Al–Zn–Mg–Cu alloys. Adding Si in this alloy changed the precipitated phases from T′ and η′ phases to the dual-sized η and GPB-II phases. With increasing isothermal aging temperature, more GPB-II phases formed in alloys with the same composition, effectively improving the microhardness and mechanical properties. When aging at 150 °C, 0.5 wt%Si-containing alloy reached the highest peak hardness of about 150HV and maintained stable hardness, while an alloy without Si only reached 120HV and later declined by 15HV. The tensile strength and yield strength of the 0.5 wt%Si-containing alloy were higher than those of non-Si alloy by 132 MPa and 165 MPa, increasing 51% and 90%, respectively. This result was due to the presence of fine and dispersed 4–8 nm GPB-II phases in 0.5 wt%Si-containing alloy. The GPB-II phase had a core-shell structure, with the core region mainly enriched in Mg and Si, and the shell region mainly enriched in Cu and Zn. Compared with the stability of T′ and η′ phases, this core-shell structure of GPB-II effectively inhibited its growth and beneficially maintained a smaller-sized GPB-II phase. The strengthening effect of GPB-II phase was better than that of η or T phases when aging at 150 °C or 200 °C. The mechanical properties of high Zn/Mg ratios Al–Zn–Mg–Cu alloys can enhanced by adding Si.

Artificial aging behavior of SiCP/AA2009 composite by electric heating: Mechanisms and modelling

SiCP/Al composite is regarded as a superior alternative material in the aerospace industry due to its excellent properties. Meanwhile, electrically-assisted aging (EAA) heat treatment has emerged as a promising method for artificial aging to obtain better aging performances. This study explores the potential of EAA heat treatment to enhance the aging kinetics of SiCP/Al composite. The impact of EAA on the aging behavior of SiCP/AA2009 composites is investigated and compared with conventional furnace aging treatment, ranging from microstructure to macroscopic properties. The electric current has few effects on the evolution trend of aging strength, but can enhance the aging process of SiCP/AA2009 with higher yield strength (about 13.7 MPa improvement) and ultimate tensile strength (about 9.7 MPa improvement). Analysis of microstructures demonstrates that EAA can generate more nucleation sites and reduce consumption of Cu atoms by Cu–Mg co-clusters near SiCP interface, resulting in more θ’ phases compared to conventional aging (CA). Additionally, more fine precipitates and dislocations contribute to higher strength under EAA condition. Subsequently, a precipitation kinetic model based on the Lagrange-like approach is employed to predict the particular electric current effects on the particle size distribution and evolution during aging, and to calculate yield strength by establishing a relationship between microstructural characteristics and macroscopic performance, providing a model basis for the design of potential EAA processes.

Food insecurity and mobility difficulty in middle-aged and older adults: The importance of bio-psychosocial factors

ObjectiveFood insecurity has been associated with mobility difficulty (MD) in old age. However, there is a scarcity of research on this topic from low- and middle-income countries, while the bio-psychological factors underlying this association are largely unknown. We investigated the food insecurity-MD link in Ghana and explored how sleep, anxiety, loneliness, and physical activity (PA) mediate the association. MethodsCommunity-based, representative cross-sectional data from the Aging, Health, Well-being, and Health-seeking Behavior Study were analyzed (N = 1201; Mage = 66.5; women = 63%). MD was assessed with items from the SF-36 of the Medical Outcomes Study. We assessed food insecurity with items on hunger and breakfast-skipping frequency due to lack of food and resources. Adjusted OLS and mediation models via bootstrapping technique evaluated the associations. ResultsResults revealed the expected association between food insecurity and MD, such that greater food insecurity was significantly and positively associated with MD across paths (from β = 0.33 to β = 0.42, p < .001). Analyses of indirect effects showed that sleep problems (27.8%), anxiety (15.5%), loneliness (17.5%), and PA (18.0%) mediated the association between food insecurity and MD. Cross-level interactions revealed that food insecurity significantly modified the link between each mediator and MD. ConclusionsOur data provide novel evidence that bio-psychological mechanisms may underlie the food insecurity-MD link and should, therefore, be considered relevant targets for interventions to prevent/manage MD in later life.

Aging and confinement in subordinated fractional Brownian motion.

We study the effects of aging properties of subordinated fractional Brownian motion (FBM) with drift and in harmonic confinement, when the measurement of the stochastic process starts a time t_{a}>0 after its original initiation at t=0. Specifically, we consider the aged versions of the ensemble mean-squared displacement (MSD) and the time-averaged MSD (TAMSD), along with the aging factor. Our results are favorably compared with simulations results. The aging subordinated FBM exhibits a disparity between MSD and TAMSD and is thus weakly nonergodic, while strong aging is shown to effect a convergence of the MSD and TAMSD. The information on the aging factor with respect to the lag time exhibits an identical form to the aging behavior of subdiffusive continuous-time random walks (CTRW). The statistical properties of the MSD and TAMSD for the confined subordinated FBM are also derived. At long times, the MSD in the harmonic potential has a stationary value, that depends on the Hurst index of the parental (nonequilibrium) FBM. The TAMSD of confined subordinated FBM does not relax to a stationary value but increases sublinearly with lag time, analogously to confined CTRW. Specifically, short aging times t_{a} in confined subordinated FBM do not affect the aged MSD, while for long aging times the aged MSD has a power-law increase and is identical to the aged TAMSD.

3D‐printed PLA/PMMA polymer composites: A consolidated feasible characteristic investigation for dental applications

AbstractThis research article focused on the blending of poly(lactic acid)/poly(methyl methacrylate) (PLA/PMMA) polymer materials to overcome PLA's inherent weaknesses, such as low glass transition temperature, brittleness, and lack of melt strength. Consolidated feasible characteristic investigations, such as mechanical, thermal, and aging behavior, were carried out for PLA/PMMA blended polymer materials. Initially, the miscibility of PLA/PMMA blend filaments was prepared at various blend ratios (91/9, 82/18, and 73/27) and samples were printed by fused deposition modeling (FDM). Differential scanning calorimetry (DSC) and Fourier infrared spectroscopy (FTIR) analysis have been utilized to evaluate the glass transition temperature (Tg) and intermolecular interaction, respectively, on blended polymer materials. Experimental tensile, compression, and flexural strength testing were performed on neat polymers and blended polymer composites. Compared to neat PLA materials, blended composites had 13.24% and 19.07% higher flexural and compression strengths. Besides, the interfacial interaction of neat and blended polymers has been done using dynamic mechanical analysis (DMA). Furthermore, Tg, storage modulus, and aging behavior of blended polymer materials have significantly improved over neat PLA materials. Altogether, the development of PMMA/PLA blends as sustainable biomaterials for dental applications aligns with environmental concerns and the need for biocompatible materials in dentistry.Highlights Blending of PLA and PMMA helps mitigate the inherent constraints of PLA. Blended composites exhibited greater compressive and flexural strengths. Better glass transition temperature and intermolecular interaction. Excellent thermal stability and water aging imply viable dental biomaterials.

Effect of Deep Cryogenic Treatment on the Artificial Aging Behavior of 6082 Aluminum Alloy

This study investigates the impact of cryogenic treatment duration on the mechanical properties and microstructural evolution of 6082 aluminum alloy subjected to subsequent artificial aging. Tensile tests were conducted using an electronic universal testing machine, and the microstructure was characterized by employing optical microscopy (OM), scanning electron microscopy (SEM), and transmission electron microscopy (TEM). The results indicate that both the tensile strength and elongation of the alloy first increase and then decrease with the extension of cryogenic treatment duration. The alloy treated with 12 h of cryogenic treatment followed by artificial aging at 180 °C for 8 h achieved a peak strength of 390 MPa. Meanwhile, the alloy treated with 8 h of cryogenic treatment and the same artificial aging process reached a maximum elongation of 13%. All specimens of 6082 aluminum alloy subjected to cryogenic and aging treatments exhibited ductile fracture under room temperature tensile conditions. The size of dimples at the fracture surface first increased and then decreased with increasing cryogenic treatment duration, indicating a transition from deeper to shallower dimples. The cryogenic treatment did not significantly affect the grain size of the alloy, which remained approximately 230 µm on average. Cryogenic treatment facilitated the precipitation of fine, densely distributed precipitates, enhancing the pinning effect of dislocations and thus improving the tensile strength. Additionally, cryogenic treatment increased the dislocation density and promoted the formation of subgrains, while the grain boundary precipitates transitioned from a continuous to a discontinuous distribution, all of which contribute to the enhancement of the plasticity.

Effect of pulse current density on creep ageing behavior of 2195 Al-Li alloy

Electrical pulse-assisted creep ageing forming can effectively improve the mechanical properties and forming efficiency of large aluminum components. However, it is difficult to achieve uniform and consistent current density at different positions in complex components. Thus, the creep behavior, mechanical properties, and microstructure evolution of 2195 Al-Li alloy under three pulse current densities (0A/mm2, 3A/mm2 and 8A/mm2) was systematically studied. The experimental results showed that the creep deformation increases with increasing current density during the 1st hour stage of electric pulse-assisted creep ageing process. However, the total creep strain of 8 h shows a trend of decreasing and then increasing. Low density pulsed currents (non-thermal effect) can promote the precipitation of the T1 phases and θ′ phases, and narrow the precipitates free zone compared to conventional creep aged sample (0A/mm2). High density (Both of non-thermal effect and Joule heating effect) pulsed currents can promote the precipitation of T1 phases, inhibit θ′ phases and form the precipitated phase penetrate the grain boundaries. A gratifying finding is that an increase in current density accelerates the aging hardening process, but the peak strength after creep ageing is the same for different current densities. This indicates that high pulse current density can improve creep ageing forming efficiency and ageing hardening process, and can use non-uniform current densities to solve the problem of significant differences in overall structural component formability while maintaining final performance consistency.

Mechanisms of phase decomposition in a non-equimolar CrFeMnNi alloy during thermal aging

While high entropy alloys and multi principal element alloys have been largely studied and developed as single solid solutions, fewer investigations have focused on phase transformations in these multicomponent alloys. This study reports on the aging behavior at 500 °C of a non-equimolar CrFeMnNi alloy. The results unveil a complex evolution, leading to complete decomposition into three main phases, namely an L10 NiMn phase, an FCC Fe-rich phase, and a BCC Cr-rich phase. The intricate microstructure is achieved in stages through continuous precipitation of L10 Ni-Mn nanoscale precipitates, which are progressively overtaken by a sweeping discontinuous front involving the co-precipitation of the L10 NiMn and BCC Cr-rich phases in addition to the parent FCC Fe-rich phase. Furthermore, the Cr-rich phase initially forms with metastable compositions leading to further precipitation of Fe-rich precipitates within the Cr-rich region behind the transformation front. Understanding these transformation pathways through metastable states emphasizes the potential for expanding the range of achievable properties through deliberate microstructure tailoring of multi principal element alloys.

Rejuvenation and memory effects in active glasses induced by thermal and active cycling

It has recently been shown that thermal active glasses can display physical aging behavior comparable to that of passive glasses, although there are some notable distinctions due to the intrinsic nonequilibrium nature of active matter. The question whether active disordered materials can also exhibit rejuvenation and memory effects, akin to the phenomenology of, e.g., spin glasses, has thus far remained unexplored. Here we address this question by numerical simulations of active glasses composed of active Brownian particles that are subjected to a thermal or active cycling protocol. We find that an active system undergoing thermal cycling indeed shows rejuvenation and memory effects, with the strength of rejuvenation depending on the persistence time. In contrast, however, a passive Brownian system subjected to the same thermal cycle lacks the rejuvenation effect. We attribute this to the enhanced motility of active particles, which enables them to escape from their cages and restart aging at the new temperature, thus rejuvenating the material. Finally, we also demonstrate that both rejuvenation and memory effects can be induced by an activity cycle which quenches the material from an active to passive glass and back, providing a unique means to rejuvenate active matter. Published by the American Physical Society 2024

Statistical analysis of aging micro-characteristics for asphalt binder AFM images based on neural network classification

To further evaluate the effect of aging behavior on microstructure for asphalt binder, the atomic force microscope (AFM) images of asphalt binder were studied by neural network classification technology, and its aging micro-characteristics were analyzed statistically. Firstly, AFM equipment was used to test 90# virgin asphalt binder and styrene–butadiene–styrene (SBS) modified asphalt binder commonly used in engineering, and the typical micromorphology AFM images of asphalt binders were obtained. Subsequently, the asphalt binder AFM images were preliminatively analyzed, and the micro-characteristics of AFM images before and after aging were compared, including the “bee structure” characteristics, distribution law and surface structure roughness. Finally, the asphalt binder AFM images were further analyzed by neural network classification, and the change of “bee structure” was statistically calculated and analyzed, and its aging micro-characteristics were quantitatively evaluated. The results show that it is feasible for neural network classification to be applied to the statistical analysis of asphalt binder AFM images, and it can further describe and evaluate the aging micro-characteristics of asphalt binder. Aging behavior reduces the proportion of intermediate category areas in asphalt binder AFM images and increases the “bee structure” areas. The cumulative percentage curve of asphalt binder AFM images is smoother (each category is more uniform), indicating that the asphalt binder performance tended to be stable after aging. The results further enrich the description of asphalt binder AFM images, and provide a new way to explore the micro-morphology of asphalt binder.

Adsorption behavior of triazine pesticides on polystyrene microplastics aging with different processes in natural environment

The presence of microplastics in the ecological environment, serving as carriers for other organic pollutants, has garnered widespread attention. These microplastics exposed in the environment may undergo various aging processes. However, there is still a lack of information regarding how these aged microplastics impact the environmental behavior and ecological toxicity of pollutants. In this study, we modified polystyrene microplastics by simulating the aging behavior that may occur under environmental exposure, and then explored the adsorption behavior and adsorption mechanism of microplastics before and after aging for typical triazine herbicides. It was shown that all aging treatments of polystyrene increased the adsorption of herbicides, the composite aged microplastics had the strongest adsorption capacity and the fastest adsorption rate, and of the three herbicides, metribuzin was adsorbed the most by microplastics. The interactions between microplastics and herbicides involved mechanisms such as hydrophobic interactions, surface adsorption, the effect of π-π interactions, and the formation of hydrogen bonds. Further studies confirmed that microplastics adsorbed with herbicides cause greater biotoxicity to E. coli. These findings elucidate the interactions between microplastics before and after aging and triazine herbicides. Acting as carriers, they alter the environmental behavior and ecological toxicity of organic pollutants, providing theoretical support for assessing the ecological risk of microplastics in water environments.

Effects of various long-term thermal aging levels on the morphology, rheology and self-healing performances of high-viscosity asphalt

Large macroporous structures of permeable asphalt pavement made high-viscosity asphalt (HVA) more susceptible to aging and failure. However, the standard pressure aging vessel (PAV) test was difficult to accurately emulate the long-term aging behavior of HVA. Hence, 1–5PAV aging levels of two HVAs (i.e. HVA-1 and HVA-2) were emulated by the simple aging test (SAT). Rheological analysis indicated that asphalt oxidation consistently dominated regardless of the long-term aging levels of HVAs. Combined with the fluorescence microscopy observation, HVA-2 with meticulous and uniform granular distribution was more resistant to aging than HVA-1 with coarse and continuously strip-like structures. Stress-strain curve analysis in linear amplitude sweep (LAS) test revealed that the accumulated strain energy (ASE) representing the overall mechanical properties of HVAs first increased and then decreased as the long-term aging level grew. The continuous repeated LAS (RLAS) test further reflected that the yield stress, yield strain and ASE of HVAs gradually decreased as the LAS loading number increased at initial long-term aging states; but as the sustained growth of aging level, the stress-strain curve of HVAs become increasingly chaotic until remarkable strain hardening occurred. Furthermore, RLAS-based self-healing (RLASSH) test was developed by introducing intermittent time into RLAS test. The variation of ratio of ASE decrease can characterize the self-healing performance of HVAs. RLASSH test showed that the self-healing performance of HVAs was unstable at 1–3PAV aging level, and the HVAs with 4 or 5PAV aging levels completely lost their self-healing performance. Overall, with the increase in long-term aging levels, significant differences were observed in the evolution characteristics of morphology, rheology and self-healing performances of different HVAs. This study helps to understand the rheology and self-healing performance evolution pattern of HVA during long-term service.

Depletion of Electrolyte Salt Upon Calendaric Aging of Lithium-Ion Batteries and its Effect on Cell Performance

The trend for increased nickel content in layered transition metal oxide cathode active materials and increasing charging cut-off voltages aggravates aging of lithium-ion battery cells at high state of charge (SOC). We investigate the calendaric aging behavior of large-format automotive prototype cells and laboratory single-layer pouch cells at high but realistic cell voltages/SOCs and demonstrate that electrolyte oxidation in combination with follow-up reactions can cause a significant loss of the LiPF6 salt in the electrolyte. For this, we analyze the LiPF6 concentration in aged cells, the generation of H2 upon storage, and the cell resistance for different aging conditions. We show that the LiPF6 loss is a critical aging phenomenon, as it cannot readily be detected by capacity fading measurements at low/medium C-rates or by cell resistance measurements, while it severely reduces rate and fast-charging capability. Under certain circumstances, LiPF6 loss can even lead to a temporary capacity increase due to conversion of the conducting salt in the electrolyte to cyclable lithium in the active material. Finally, we suggest a possible reaction mechanism and a simple accounting model to keep track of how different side reactions involved in LiPF6 loss change the cyclable lithium inventory of a lithium-ion cell.

Barriers and Facilitators of Self-Management in Older People with Type 1 Diabetes: A Narrative Review Focusing on Cognitive Impairment.

Over the past decades, life expectancy of people with type 1 diabetes has increased considerably, which brings potential challenges due to the process of aging. Cognitive aging and dementia, as well as reductions in visual acuity, hearing and dexterity, can influence the frequency and quality of daily self-management activities, including medication taking and insulin dosing, glucose self-monitoring, and healthy eating. This can increase the risk for hypo- and hyperglycemic events, which, in turn, may contribute to cognitive decline. Because there is a gap in understanding the barriers and facilitators of self-management in older adults with type 1 diabetes and the relationship to cognitive functioning, the authors 1) review the available literature on cognitive aging and type 1 diabetes, 2) describe what self-management in later adulthood entails and the cognitive functions required for effective self-management behaviors, 3) analyze the interaction between type 1 diabetes, cognition, aging, and self-management behaviors, and 4) describe the barriers and facilitators for self-management throughout the life span and how they may differ for older people. Potential evidence-based practices that could be developed for older adults with type 1 diabetes are discussed. There is need for further studies that clarify the impact of aging on T1D self-management, ultimately to improve diabetes care and quality of life.