Are elderly patients with diabetes being overtreated in French long-term-care homes?
Fiche publication
Date publication
septembre 2010
Auteurs
Membres identifiés du Cancéropôle Est :
Pr PETIT Jean-Michel
Tous les auteurs :
Bouillet B, Vaillant G, Petit JM, Duclos M, Poussier A, Brindisi MC, Verges B
Lien Pubmed
Résumé
AIM: In France, diabetes prevalence and ageing of the population are both on the increase, yet little information on diabetes in elderly patients living in geriatric institutions is available. Moreover, institutionalized diabetic patients are not included in the French recommendations for the management of diabetes in the elderly. For this reason, the aim of the present study was to evaluate diabetes management in older, institutionalized patients. METHODS: The medical records of 100 diabetic patients, aged 65 years and over, and living in seven geriatric institutions in the Cote d'Or region of France, were studied from May 2008 to January 2009. RESULTS: Prevalence of diabetes in these seven geriatric institutions was 15.46+/-4.9%, higher than in the general population. The diabetic patients had a mean age of 81.85+/-11.93 years, and 32% had glycated haemoglobin (HbA(1c)) less or equal to 6.5%, indicating a high risk of severe hypoglycaemia. A diet for diabetes was prescribed in 54% of the patients, but HbA(1c) levels did not differ between patients following and not following the diet (7.26+/-1.36% vs 7.11+/-1.10%, respectively; P=0.27). Creatinine was assessed in 87% of the patients, and 16% were ophthalmologically followed-up. Daily capillary blood glucose monitoring was performed in 100% of the patients taking insulin and in 17% of those taking oral antidiabetic treatment (P
Référence
Diabetes Metab. 2010 Sep;36(4):272-7