Individualized, non-age-based glycemic control in elderly veterans with diabetes

Diabetes Care
Drew A HelmerLeonard M Pogach

Abstract

To examine the role of age and endocrinology care in glycemic testing and control in elderly veterans with diabetes. In this retrospective study of Veterans Health Administration clinic users aged > or = 65 years with diabetes, we compared glycemic testing and poor glycemic control (A1C > 9%) between older (> or = 75 years) and younger (65-74 years) veterans in the year 2000. Without adjustment, rates for glycemic testing were 70.2% in older and 71.1% in younger veterans, and those for poor control were 9.4% in older and 12.8% in younger veterans. After adjustment, older veterans had 1.8% lower probability of glycemic testing and 2.9% lower probability of poor control than younger veterans. Endocrinology care was associated with a higher probability of both glycemic testing (9.7%) and poor control (1.0%), regardless of age. Glycemic testing and control and effect of endocrinology care were comparable in older and younger veterans with diabetes.

References

Nov 18, 2000·Journal of the American Geriatrics Society·D G BruceT M Davis
Jan 15, 2003·JAMA : the Journal of the American Medical Association·Stephen F JencksTimothy Cuerdon
Apr 16, 2003·Journal of the American Geriatrics Society·Arlene F BrownUNKNOWN California Healthcare Foundation/American Geriatrics Society Panel on Improving Care for Elders with Diabetes
Dec 14, 2005·Archives of Internal Medicine·Susan M FrayneDan R Berlowitz

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Citations

Oct 19, 2011·Journal of General Internal Medicine·Steven D Pizer, Julia C Prentice
Nov 19, 2011·Health Services Research·Julia C PrenticeSteven D Pizer
Mar 31, 2015·Singapore Medical Journal·Shariff-Ghazali SazlinaBoon How Chew

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