J Korean Diabetes.  2018 Mar;19(1):58-70. 10.4093/jkd.2018.19.1.58.

Goal Attainment Rate for Parameters of Metabolic Adjustment in Elderly Patients with Type 2 Diabetes Taking a Hypoglycemic Agent

• Shim KH
• Hwang MS
• Park JE
• Jung JH
• Lee JH
• Song BR

• KMID: 2408660
• DOI: http://doi.org/10.4093/jkd.2018.19.1.58

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.

Keyword

Aged; Blood pressure; Diabetes mellitus; Glycosylated hemoglobin A; LDL cholesterol

MeSH Terms

Aged*
Blood Pressure
Case Management
Cholesterol
Cholesterol, LDL
Diabetes Complications
Diabetes Mellitus
Drinking
Hemoglobin A, Glycosylated
Humans
Lipoproteins
Medical Records
Smoke
Smoking
Vascular Diseases
Cholesterol
Cholesterol, LDL
Hemoglobin A, Glycosylated
Lipoproteins
Smoke

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