Search

Clinical skills · Focus area 5

Optimizing technology over time

Keep diabetes technology working for the person as their needs change. This skill covers reviewing outcomes, adjusting automated insulin delivery (AID) and pump settings, managing alert burden and deciding when to upgrade, switch or simplify.

This page brings together point-of-care settings tools and education on follow-up and optimization.

Curated bydanatech Clinical Staff
UpdatedNovember 2026

What this skill covers

Clinical iteration and long-term advancement of technology use.

Tuning AID systems

  • Adjusting glucose targets within automated insulin delivery (AID) systems over time
  • Progressing automation levels and activity modes
  • Recognizing when AID settings have plateaued, and why

Alerts and quality of life

  • Reducing alert fatigue as patients gain experience
  • Refining thresholds based on patterns and lifestyle
  • Balancing safety alerts with quality of life

Transitions and life changes

  • Adjusting for pregnancy, puberty, aging and activity changes
  • Knowing when to upgrade, switch or simplify — and who makes that call
  • How firmware and algorithm updates change device behavior

Before you change settings

Changes act on real insulin delivery.

  • Where possible, change one setting at a time and plan a follow-up check
  • Watch for new hypoglycemia after any change to targets or settings
  • A change outside your scope or orders: hand off with the data and context

Start here

The three resources we recommend first for this skill. CE/CME credit and end dates are shown where offered; available credit varies by profession.

  • Clinical AssessmentApply

    PANTHER AID Tools

    Point-of-care clinic tools for reviewing and adjusting AID systems.

    Open PANTHER AID tools
  • WebinarLearn1 CE/CME · through Jul 21, 2028

    Clinical Follow-Up & Troubleshooting: Optimizing Outcomes in AID

    What to review after an AID start, common problems and when to adjust or escalate.

    View webinar
  • WebinarLearn

    Device Training Webinars

    The full directory of device trainings: CGMs, insulin pumps, AID systems and smart pens.

    Directory mixes accredited education with manufacturer product training. Individual product trainings do not carry CE.

    View device trainings

Find tools and resources

Choose a resource based on your clinical question or the setting where you’re providing care. Each is labeled by type and by how you’ll use it: Learn, Practice or Apply.

  • Interactive ToolApplyInsulin Pump Settings ToolPANTHER’s calculator for choosing evidence-supported pump settings. Also in: Understanding and starting devices

More learning and CE

Courses, webinars and certificate programs for this skill, with current CE/CME status. Available credit varies by profession.

Looking for a different starting point? The danatech Compass suggests one from your role, setting and what you’re working on. Try the danatech Compass
Sources and scope
  1. ADA Professional Practice Committee. 6. Glycemic Goals, Hypoglycemia, and Hyperglycemic Crises: Standards of Care in Diabetes—2026. Diabetes Care 2026;49(Suppl 1).
  2. ADA Professional Practice Committee. 7. Diabetes Technology: Standards of Care in Diabetes—2026. Diabetes Care 2026;49(Suppl 1).
  3. danatech Diabetes Technology Key Focus Areas framework, revised 2026.

For educational use. Not clinical advice; does not replace clinical judgment, scope of practice, institutional policy or manufacturer instructions.

The Danatech Digest

Join 25,000+ professionals who get our latest diabetes technology updates

DISCLAIMERS: 

This site and its services do not constitute the practice of medical advice, diagnosis or treatment. Always talk to your diabetes care and education specialist or health care provider for diagnosis and treatment, including your specific medical needs. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. To find a diabetes care and education specialist near you, visit the ADCES finder tool.

ADCES and danatech curate product specifics and periodically review them for accuracy and relevance. As a result, the information may or may not be the most recent. We recommend visiting the manufacturer's website for the latest details if you have any questions.


danatech is made possible thanks to a generous grant from Helmsley Charitable Trust. Additional funding provided by: