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Published online January 17, 2008
Diabetes Care 31:728-731, 2008
DOI: 10.2337/dc07-1431
© 2008 by the American Diabetes Association
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Epidemiology/Health Services Research
Original Research

Individualized, Non–Age-Based Glycemic Control in Elderly Veterans With Diabetes

Drew A. Helmer, MD1,2, Usha Sambamoorthi, PHD2,3, Mangala Rajan, MBA1, Chin-Lin Tseng, DPH1,2 and Leonard M. Pogach, MD1,2

1 Center for Healthcare Knowledge Management, Veterans Affairs New Jersey Health Care System, East Orange, New Jersey
2 New Jersey Medical School, University of Medicine and Dentistry New Jersey, Newark, New Jersey
3 Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, Georgia

Address correspondence and reprint requests to Drew Helmer, MD, MEDVAMC, 2002 Holcombe Blvd. (111PC), Houston, TX 77030. E-mail: drew.helmer{at}va.gov

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.

Abbreviations: FY, fiscal year • RRS, relative risk score • VHA, Veterans Health Administration


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Copyright © 2008 by the American Diabetes Association.