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

Drew A. Helmer; Usha Sambamoorthi; Mangala Rajan; Chin Lin Tseng; Leonard M. Pogach

doi:10.2337/dc07-1431

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

Drew A. Helmer, Usha Sambamoorthi, Mangala Rajan, Chin Lin Tseng, Leonard M. Pogach

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

OBJECTIVE - To examine the role of age and endocrinology care in glycemic testing and control in elderly veterans with diabetes. RESEARCH DESIGN AND METHODS - In this retrospective study of Veterans Health Administration clinic users aged ≥65 years with diabetes, we compared glycemic testing and poor glycemic control (A1C >9%) between older (≥75 years) and younger (65-74 years) veterans in the year 2000. RESULTS - 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. CONCLUSIONS - Glycemic testing and control and effect of endocrinology care were comparable in older and younger veterans with diabetes.

Original language	English
Pages (from-to)	728-731
Number of pages	4
Journal	Diabetes Care
Volume	31
Issue number	4
DOIs	https://doi.org/10.2337/dc07-1431
State	Published - Apr 2008

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

abstract = "OBJECTIVE - To examine the role of age and endocrinology care in glycemic testing and control in elderly veterans with diabetes. RESEARCH DESIGN AND METHODS - In this retrospective study of Veterans Health Administration clinic users aged ≥65 years with diabetes, we compared glycemic testing and poor glycemic control (A1C >9%) between older (≥75 years) and younger (65-74 years) veterans in the year 2000. RESULTS - 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. CONCLUSIONS - Glycemic testing and control and effect of endocrinology care were comparable in older and younger veterans with diabetes.",

author = "Helmer, {Drew A.} and Usha Sambamoorthi and Mangala Rajan and Tseng, {Chin Lin} and Pogach, {Leonard M.}",

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doi = "10.2337/dc07-1431",

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T1 - Individualized, non-age-based glycemic control in elderly veterans with diabetes

AU - Helmer, Drew A.

AU - Sambamoorthi, Usha

AU - Rajan, Mangala

AU - Tseng, Chin Lin

AU - Pogach, Leonard M.

PY - 2008/4

Y1 - 2008/4

N2 - OBJECTIVE - To examine the role of age and endocrinology care in glycemic testing and control in elderly veterans with diabetes. RESEARCH DESIGN AND METHODS - In this retrospective study of Veterans Health Administration clinic users aged ≥65 years with diabetes, we compared glycemic testing and poor glycemic control (A1C >9%) between older (≥75 years) and younger (65-74 years) veterans in the year 2000. RESULTS - 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. CONCLUSIONS - Glycemic testing and control and effect of endocrinology care were comparable in older and younger veterans with diabetes.

AB - OBJECTIVE - To examine the role of age and endocrinology care in glycemic testing and control in elderly veterans with diabetes. RESEARCH DESIGN AND METHODS - In this retrospective study of Veterans Health Administration clinic users aged ≥65 years with diabetes, we compared glycemic testing and poor glycemic control (A1C >9%) between older (≥75 years) and younger (65-74 years) veterans in the year 2000. RESULTS - 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. CONCLUSIONS - Glycemic testing and control and effect of endocrinology care were comparable in older and younger veterans with diabetes.

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SN - 0149-5992

VL - 31

SP - 728

EP - 731

JO - Diabetes Care

JF - Diabetes Care

IS - 4

ER -

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

Abstract

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