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Diabetes Care Publish Ahead of Print published online ahead of print January 17, 2008
DOI: 10.2337/dc07-1431
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Original Research

Glycemic Control in Elderly Veterans with Diabetes: Individualized, not age-based

Drew A. Helmer, MD1,,2, Usha Sambamoorthi, PhD2,,3, Mangala Rajan, MBA1, Chin-Lin Tseng, DrPH1,,2 and Leonard M. Pogach, MD1,,2

1Center for Healthcare Knowledge Management, VA-New Jersey Health Care System, East Orange, NJ
2University of Medicine & Dentistry New Jersey, Newark, NJ
3Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA

drew.helmer{at}va.gov

ABSTRACT

Objective: To examine the role of age and endocrinology care in glycemic testing and control in elderly veterans with diabetes.

Research Design & Methods: Retrospective study of Veterans Health Administration clinic users aged 65+ years with diabetes. We compared glycemic testing and control (HbA1c>9%) in 2000 between old-old (75+ years) and young-old (65-74 years) veterans.

Results: Without adjustment, rates for glycemic testing were 70.2% in old-old and 71.1% in young-old veterans and poor control were 9.4% in old-old and 12.8% in young-old. After adjustment, old-old veterans had 1.8% lower probability of glycemic testing and 2.9% lower probability of poor control than young-old. 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 old-old and young-old veterans with diabetes.


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Copyright © 2008 by the American Diabetes Association.