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Diabetes treatment and hypoglycaemic episodes in elderly patients at nursing homes in Uppsala County
Ostervala Primary Hlth Care Ctr, Ostervala, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
Uppsala Univ Hosp Akad Sjukhuset, Uppsala, Sweden..
Uppsala Lans Landsting, Uppsala, Sweden..
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2016 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 121, no 3, 179-183 p.Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to examine the situation for elderly patients with diabetes living in nursing homes with regard to diabetes treatment, clinical variables, and vascular complications associated with diabetes. A second aim was to evaluate if the patients were at risk of hypoglycaemia. Methods: This was a cross-sectional study including diabetes patients from all 30 nursing homes in Uppsala County, Sweden. Current antidiabetic medications, HbA(1c) hypoglycaemic events, and diabetes complications were registered from the medical records. The patients were stratified into a general group and divided into three groups according to HbA(1c) (<52, 52-73, and >73 mmol/mol). Results: Of 1,350 individuals, 218 patients were identified with diabetes mellitus. The diabetes duration was 11.2 +/- 9.4 years and their serum HbA(1c) concentration 56.0 +/- 1.2 mmol/mol. Hypoglycaemic events were reported in 24% of the diabetic individuals, and 43.1% of them had HbA(1c) <52 mmol/mol (mean value 44.0 +/- 1.1 mmol/mol). Of these, 36% were taking antidiabetic drugs. Another 35.8% of the patients had HbA(1c) values between 52-73 mmol/mol (mean value 60.0 +/- 1.1 mmol/mol), and 82% of these patients were taking antidiabetic drugs. Almost 80% of the diabetic patients had either micro- or macrovascular complications, with diabetes duration as an association for both micro- or macrovascular complications and hypoglycaemic events. Conclusions: A reduction of the use of antidiabetic drugs with follow-up of HbA(1c) level should be considered, especially for multimorbid elderly patients with low HbA(1c) and hypoglycaemia.

Place, publisher, year, edition, pages
2016. Vol. 121, no 3, 179-183 p.
Keyword [en]
Diabetes medication, elderly patients, HbA1c, hypoglycaemia, nursing homes
National Category
URN: urn:nbn:se:uu:diva-304442DOI: 10.1080/03009734.2016.1198441ISI: 000381958400005PubMedID: 27356590OAI: oai:DiVA.org:uu-304442DiVA: diva2:1033048
Available from: 2016-10-05 Created: 2016-10-05 Last updated: 2016-10-05Bibliographically approved

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