Goal Attainment Rate for Parameters of Metabolic Adjustment in Elderly Patients with Type 2 Diabetes Taking a Hypoglycemic Agent.
- Author:
Kang Hee SHIM
1
;
Moon Sook HWANG
;
Jeong Eun PARK
;
Jin Hee JUNG
;
Jung Hwa LEE
;
Bok Rye SONG
Author Information
- Publication Type:Original Article
- Keywords: Aged; Blood pressure; Diabetes mellitus; Glycosylated hemoglobin A; LDL cholesterol
- MeSH: Aged*; Blood Pressure; Case Management; Cholesterol; Cholesterol, LDL; Diabetes Complications; Diabetes Mellitus; Drinking; Hemoglobin A, Glycosylated; Humans; Lipoproteins; Medical Records; Smoke; Smoking; Vascular Diseases
- From:Journal of Korean Diabetes 2018;19(1):58-70
- CountryRepublic of Korea
- Language:Korean
- 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.
