Regional Economic Conditions and Preventable Hospitalization among Older Patients With Diabetes

Medical Care ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Taeko Minegishi ◽  
Gary J. Young ◽  
Kristin M. Madison ◽  
Steven D. Pizer
Keyword(s):  
Older Patients ◽  
Economic Conditions ◽  
Regional Economic ◽  
Preventable Hospitalization ◽  
Patients With Diabetes

Frailty and Health Care Utilization among Community-Dwelling Older Patients with Diabetes Mellitus

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1468-P
Author(s):  
SHIVANI PRIYADARSHNI ◽  
SRUTHI NELLURI ◽  
ZUBAIR RAHAMAN ◽  
MICHAEL J. MINTZER ◽  
STUTI DANG ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Health Care Utilization ◽  
Older Patients ◽  
Community Dwelling ◽  
Care Utilization ◽  
Patients With Diabetes

scholarly journals Diabetes and Frail Older Patients: Glycemic Control and Prescription Profile in Real Life

Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 115
Author(s):  
Anne-Sophie Mangé ◽  
Arnaud Pagès ◽  
Sandrine Sourdet ◽  
Philippe Cestac ◽  
Cécile McCambridge
Keyword(s):  
Glycemic Control ◽  
Older Patients ◽  
Diabetes Management ◽  
Real Life ◽  
Cross Sectional ◽  
Glucose Lowering ◽  
Frailty Status ◽  
Frail Patients ◽  
Patients With Diabetes ◽  
Hba1c Target

(1) Background: The latest recommendations for diabetes management adapt the objectives of glycemic control to the frailty profile in older patients. The purpose of this study was to evaluate the proportion of older patients with diabetes whose treatment deviates from the recommendations. (2) Methods: This cross-sectional observational study was conducted in older adults with known diabetes who underwent an outpatient frailty assessment in 2016. Glycated hemoglobin (HbA1c) target is between 6% and 7% for nonfrail patients and between 7% and 8% for frail patients. Frailty was evaluated using the Fried criteria. Prescriptions of glucose-lowering drugs were analyzed based on explicit and implicit criteria. (3) Results: Of 110 people with diabetes with an average age of 81.7 years, 67.3% were frail. They had a mean HbA1c of 7.11%. Of these patients, 60.9% had at least one drug therapy problem in their diabetes management and 40.9% were potentially overtreated. The HbA1c distribution in relation to the targets varied depending on frailty status (p < 0.002), with overly strict control in frail patients (p < 0.001). (4) Conclusions: Glycemic control does not seem to be routinely adjusted to the health of frail patients. Several factors can lead to overtreatment of these patients.

Experience of Home Telehealth Technology in Older Patients With Diabetes

2017 ◽  
Vol 35 (10) ◽  
pp. 530-537 ◽  
Author(s):  
Chi-Ping Chang ◽  
Ting-Ting Lee ◽  
Mary Etta Mills
Keyword(s):  
Older Patients ◽  
Home Telehealth ◽  
Patients With Diabetes

Drug treatment of hypertension in older patients with diabetes mellitus

2018 ◽  
Vol 19 (7) ◽  
pp. 633-642 ◽  
Author(s):  
Srikanth Yandrapalli ◽  
Suman Pal ◽  
Christopher Nabors ◽  
Wilbert S. Aronow
Keyword(s):  
Diabetes Mellitus ◽  
Drug Treatment ◽  
Older Patients ◽  
Treatment Of Hypertension ◽  
Patients With Diabetes

Self-care experiences of older patients with diabetes mellitus: A qualitative systematic literature review

2019 ◽  
Vol 40 (2) ◽  
pp. 64-72
Author(s):  
Sandra Pennbrant ◽  
Ann Berg ◽  
Leone Fohlin Johansson
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Older Patients ◽  
Self Care ◽  
Glucose Testing ◽  
Dietary Requirements ◽  
Patients With Diabetes ◽  
Blood Glucose Testing ◽  
Care Support

Diabetes is a growing health problem and risk increases with age. Self-care is an important part of treatment. The aim of this qualitative systematic literature review was to investigate how older patients with diabetes experience self-care. A systematic literature review relating to older patients, diabetes and self-care was conducted. Systematic searches were carried out in the CINAHL, PubMed/MEDLINE and PsycINFO databases. The results show that older patients with diabetes are mainly concerned with the issues of blood glucose testing, dietary requirements, information about diabetes, motivation and support. To support safe self-care for older patients with diabetes, nurses need opportunities to increase their knowledge and reflection about diabetes and safe self-care support. Further research is needed to identify how nurses can promote older patients’ self-care and quality of life in the context of a person-centred approach.

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