A retrospective study of diabetes treatment in older adults: what should we AIM for?
| العنوان: | A retrospective study of diabetes treatment in older adults: what should we AIM for? |
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| المؤلفون: | Ahmet Cigiloglu, Eyyup Murat Efendioglu, Zeynel Abidin Ozturk |
| المصدر: | Postgraduate Medicine. 134:693-697 |
| بيانات النشر: | Informa UK Limited, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Blood Glucose, Glycated Hemoglobin, Dipeptidyl-Peptidase IV Inhibitors, Sulfonylurea Compounds, Diabetes Mellitus, Type 2, Humans, Hypoglycemic Agents, Insulin, General Medicine, Aged, Retrospective Studies |
| الوصف: | Management of diabetes in elderly individuals requires a complex approach, considering the negative consequences. Glycemic overtreatment and undertreatment are relatively common conditions among this population. This study aimed to determine the potential overtreatment and undertreatment frequencies in older adults and the factors associated with these conditions.This retrospective study included 405 diabetic older adults aged65 years. Sociodemographic characteristics, additional comorbidities, medications, HbA1c and fasting glucose levels of the patients have been recorded.The median age of the patients was 71 years. The frequency of potential overtreatment and undertreatment has been found to be 20.2% and 17.8%, respectively. Insulin and sulfonylureas were found to be associated with increased risk of potential overtreatment (p = 0.000, OR = 14.91 and p = 0.000, OR = 8.48, respectively) and reduced risk of potential undertreatment (p = 0.001, OR = 0.16 and p = 0.000, OR = 0.05, respectively), while DPP-4 inhibitors were found to be associated with reduced risk of potential undertreatment (p = 0.000, OR = 0.12).Our study has shown that potential glycemic overtreatment and undertreatment are common problems in diabetic older adults. It was found that agents with a high risk of hypoglycemia, such as insulin and sulfonylureas, were more closely associated with potential overtreatment. |
| تدمد: | 1941-9260 0032-5481 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::955a75289c2ccf455ff31a3a5845810e https://doi.org/10.1080/00325481.2022.2090175 |
| رقم الأكسشن: | edsair.doi.dedup.....955a75289c2ccf455ff31a3a5845810e |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 19419260 00325481 |
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