|
 |
|
|||||||
|
|||||||||
© 2001 by the American Diabetes Association, Inc.
Epidemiology/Health Services/Psychosocial Research |
Prevalence of Diabetes in Care Home Residents
1 Diabetes Research Unit, Selly Oak Hospital, University of Birmingham, Bimingham
2 Red Roofs Surgery, Nuneaton
3 Department of Medicine for the Elderly, Bristol General Hospital, Bristol
4 Department of Geriatric Medicine, University of Wales College of Medicine, Llandough Hospital, Penarth
5 the Department of Primary Care Medicine, the Ladywood Project, U.K.
OBJECTIVE—To determine the prevalence of known and undetected diabetes diagnosed either by an elevated fasting baseline sample or by a 2-h post–glucose load sample in a group of residents of care homes in an urban-district setting.
RESEARCH DESIGN AND METHODS—We completed individual interviews with patients and caregivers in 30 care homes (both residential and nursing homes) in two metropolitan districts of Birmingham, West Midlands, U.K. All care homes were under the supervision of primary care physicians (general practitioners). We carried out 75-g oral glucose tolerance tests (OGTTs) in consenting residents without previous known diabetes. Criteria for diagnosis of diabetes were obtained from the World Health Organization (1998) and the American Diabetes Association (1997).
RESULTS—Of 636 residents available for study, 76 residents (12.0%) were known to have diabetes; of the 560 remaining residents, 286 either refused to participate or were deemed too ill or unavailable to undergo testing. Complete data on 274 OGTTs were obtained (median age 83 years, range 45–101). A total of 46 subjects were diagnosed as having diabetes and 94 as having impaired glucose tolerance. Allowing for subjects who refused or were unable to participate, the calculated total prevalence (which includes known and newly detected diabetes) was 26.7% (95% CI 21.9–32.0). The calculated overall prevalence of impaired glucose tolerance was 30.2% (25.2–35.6).
CONCLUSIONS—In a group of care home residents not known to have diabetes and able to undergo testing, a substantial proportion have undetected diabetes based on a 2-h postglucose load. These residents warrant further study as they may be at higher cardiovascular risk and require an intervention.
Abbreviations: IGT, impaired glucose tolerance • OGTT, oral glucose tolerance test
CiteULike 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  A. G Zermansky, D. P Alldred, D. R Petty, and D. K Raynor Striving to recruit: the difficulties of conducting clinical research on elderly care home residents J R Soc Med, June 1, 2007; 100(6): 258 - 261. [Full Text] [PDF]
|
|
|
|
 |
|
 T. J. Aspray, K. Nesbit, T. P. Cassidy, E. Farrow, and G. Hawthorne Diabetes in British Nursing and Residential Homes: A pragmatic screening study. Diabetes Care, March 1, 2006; 29(3): 707 - 708. [Full Text] [PDF]
|
|
|
|
|
|
M. Elia, A. Ceriello, H. Laube, A. J. Sinclair, M. Engfer, and R. J. Stratton Enteral Nutritional Support and Use of Diabetes-Specific Formulas for Patients With Diabetes: A systematic review and meta-analysis Diabetes Care, September 1, 2005; 28(9): 2267 - 2279. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. W Gregg and C. J Caspersen Review: Physical disability and the cumulative impact of diabetes in older adults The British Journal of Diabetes & Vascular Disease, January 1, 2005; 5(1): 13 - 17. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Diabetes | Diabetes Care | Clinical Diabetes | Diabetes Spectrum |