prevalence, clinical correlates, and use of glucose-lowering drugs among older patients with type 2 diabetes living in long-term care facilities
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ID: 209850
2015
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Abstract
Prevalence, clinical correlates, and use of glucose-lowering drugs were comprehensively evaluated among 863 nursing home older patients with diabetes (mean age 82.9 ± 2.1 years): functional dependence and cognitive impairment were present in 84.1% and 68% of patients, respectively, and 66.3% of patients had 2–4 comorbidities. HbA1c values < 7.0% were documented in 54.9% of diabetic; significantly lower HbA1c levels were observed in demented patients than in nondemented subjects. Documented hypoglycemic episodes were reported for 57 patients (6.6%), without significant association with age, functional dependence, cognitive impairment, or HbA1c levels. About one-fifth of older long-term facilities residents have diabetes, with concomitant poor health conditions and high prevalence of cognitive impairment and functional dependence. Roughly three-fourths of these older and frail diabetic patients have HbA1c values lower than optimal, suggesting a potential for hypoglycemic harm especially among patients with severe cognitive impairment.
| Reference Key |
bo2015journalprevalence,
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| Authors | ;Mario Bo;Stefano Gallo;Mauro Zanocchi;Paola Maina;Luisa Balcet;Martina Bonetto;Lorenzo Marchese;Annalisa Mastrapasqua;Nicoletta Aimonino Ricauda |
| Journal | applied computer science |
| Year | 2015 |
| DOI |
10.1155/2015/174316
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