Diabetes in U.S. Nursing Homes, 2004

  1. Helaine E. Resnick, PHD12,
  2. Janice Heineman, PHD1,
  3. Robyn Stone, PHD1 and
  4. Ronald I. Shorr, MD3
  1. 1Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, D.C
  2. 2Department of Endocrinology, Georgetown University, Washington, D.C
  3. 3NF/SG VHS Department of Aging and Geriatrics, Geriatrics Research, Education and Clinical Center, University of Florida, Gainesville, Florida
  1. Address correspondence and reprint requests to Helaine E. Resnick, PhD, Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, 2519 Connecticut Ave., NW, Washington, DC 20008. E-mail: hresnick{at}


The 2004 National Nursing Home Survey collected cross-sectional data for 11,939 nursing home residents aged ≥65 years representing ∼1.32 million individuals. That year, 24.6% of nursing home residents had diabetes as a primary admission and/or current diagnosis. Diabetes was present in 22.5 and 35.6% of white and nonwhite residents, respectively. Diabetic residents were admitted more often from acute care hospitals (42.5 vs. 35.3%), were more likely to have a length of stay ≤100 days (22.6 vs. 20.1%), and took more medications (10.3 vs. 8.4). Diabetic residents had 39% higher odds of having emergency department visits in the previous 90 days and 56% higher odds of having a pressure ulcer at the time of the survey. In the U.S. in 2004, one in four nursing home residents aged ≥65 years had diabetes, and diabetic residents had increased odds of several unfavorable outcomes that are important for care planning.


  • Published ahead of print at on 31 October 2007. DOI: 10.2337/dc07-1425.

    The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

    • Accepted October 23, 2007.
    • Received July 23, 2007.
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  1. Diabetes Care vol. 31 no. 2 287-288
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