Goal Attainment Rate for Parameters of Metabolic Adjustment in Elderly Patients with Type 2 Diabetes Taking a Hypoglycemic Agent / 임상당뇨병
Journal of Korean Diabetes
; : 58-70, 2018.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-726888
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
This study aimed to investigate the goal attainment rates for hemoglobin A1c (HbA1c), blood pressure (BP), and low-density lipoprotein cholesterol (LDL-C) in elderly patients with type 2 diabetes.METHODS:
The subjects were 762 over 65 years old patients with type 2 diabetes taking a hypoglycemic agent. Data were collected by reviewing medical records and included general characteristics, biochemical tests, prescribed pharmacologic agents, and complications.RESULTS:
The goal attainment rates (mean value) for HbA1c, BP, and LDL-C were 50.4% (7.3% ± 1.2%), 78.9% (126.0 ± 15.1/72.1 ± 10.0 mm Hg), and 60.6% (88.6 ± 29.9 mg/dL). Diabetes-related complications for retinopathy, nephropathy, neuropathy, and cardio-cerebral vascular disease were 36.3%, 37.2%, 23.6%, and 31.9%, respectively. Life habit-related variables positively associated with goal attainment were not drinking alcohol and exercise for HbA1c, not smoking for BP and not drinking alcohol for LDL-C. Metabolic adjustment indicator-related significant variables for complications were HbA1c in retinopathy, BP in nephropathy, and LDL-C in cardio-cerebral disease.CONCLUSION:
We found that goal attainment rates for parameters of metabolic adjustment were not high in elderly patients with type 2 diabetes. Thus, diabetes educators should be concerned about metabolic adjustment indicators. Also, case management guidelines according to elderly patient health and functional status should be developed to help manage metabolic adjustment.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
Problema de saúde:
Arranjos de Entrega
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fumaça
/
Doenças Vasculares
/
Pressão Sanguínea
/
Hemoglobinas Glicadas
/
Fumar
/
Prontuários Médicos
/
Colesterol
/
Administração de Caso
/
Complicações do Diabetes
/
Diabetes Mellitus
Limite:
Idoso
/
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Diabetes
Ano de publicação:
2018
Tipo de documento:
Artigo