Background: Technological innovations such as continuous glucose monitoring (CGM), automated insulin delivery (AID) systems, connected insulin devices, smart insulin pens, telehealth, and digital health platforms are reshaping day-to-day diabetes management. Diabetes mellitus is a common comorbidity seen across all specialties and in all countries. Because of this, nurses in every practice setting need to stay current with diabetes technologies. However, gaps in digital literacy and inequitable access to technology continue to challenge practice across care settings. As diabetes technologies rapidly transition from specialty endocrinology settings into primary care, acute care hospitals, and community-based practice, nurses are increasingly central to technology selection, patient onboarding, data interpretation, and advocacy for equitable access.
Methods: Using a structured Review–React–Resolve framework, participants will review current technological capabilities in diabetes care with category-specific examples, examine American Diabetes Association recommendations for appropriate technology use, and analyze key implementation barriers, including digital literacy gaps, workflow integration challenges, and insurance-related constraints. Implications for Nursing Practice: Nurses act as interpreters of digital data, facilitators of patient engagement, and advocates for equitable access. This transformation requires ongoing competence development and organizational support to align with evidence-based guidelines and patient-centered care goals. The successful adoption depends not only on technical skills but also on critical analysis of how technologies influence workflow, patient safety, and communication. Institutional investment in structured education, interprofessional collaboration, and continuous evaluation will help sustain effective integration of digital tools across care settings. Technological progress without access parity risks widening disparities in diabetes outcomes. Nurses are in a strategic position to identify underrepresented groups, tailor education to varying literacy levels, and advocate for policies that support equitable distribution of digital health resources.
Conclusion: Strengthening nursing confidence and competence in diabetes technologies can improve glycemic outcomes and enhance quality of life for individuals living with diabetes across the care continuum.