Table 2

Factors independently associated with level of HbA1c control in community-dwelling older veterans with diabetes and comorbid dementia

Tightly controlled
(HbA1c <7% [53 mmol/mol])Poorly controlled
(HbA1c ≥9% [75 mmol/mol])HbA1c not monitored
OR95% CIP valueOR95% CIP valueOR95% CIP value
Male sex1.100.83–1.460.491.020.59–1.750.940.810.45–1.460.48
Race/ethnicity
 White non-Hispanic (reference)
 Black non-Hispanic0.910.81–1.020.111.681.39–2.04<0.0011.160.91–1.490.24
 Hispanic0.770.67–0.87<0.0011.581.28–1.96<0.0010.960.72–1.280.79
 Other0.940.75–1.190.621.731.21–2.490.0031.621.07–2.440.022
Age
 65–74 years (reference)
 75–84 years1.161.07–1.260.0010.810.70–0.940.0051.291.06–1.560.011
 ≥85 years1.131.02–1.250.0210.660.54–0.81<0.0011.431.13–1.800.002
Has medication copay0.970.90–1.040.340.990.86–1.130.830.840.72–0.990.036
Congestive heart failure0.840.76–0.92<0.0011.070.90–1.280.431.090.88–1.350.42
Heart valve disease1.161.01–1.320.0330.910.70–1.200.511.220.91–1.640.19
Peripheral vascular disease1.030.94–1.130.560.860.72–1.030.110.840.67–1.050.13
Hypertension0.960.88–1.050.381.080.91–1.290.370.390.33–0.45<0.001
Chronic lung disease1.101.01–1.210.0381.000.84–1.180.991.080.88–1.320.48
Hypothyroidism1.030.92–1.150.620.960.77–1.190.680.600.44–0.820.001
Renal failure0.900.82–1.000.0451.130.94–1.350.210.780.61–0.990.045
Solid tumor without metastasis0.990.90–1.090.850.900.74–1.100.310.670.52–0.870.003
Obesity0.830.72–0.950.0071.070.85–1.350.560.570.38–0.840.004
Weight loss1.361.09–1.690.0060.930.45–1.190.211.771.14–2.740.010
Fluid and electrolyte disorder0.970.87–1.080.571.110.91–1.360.291.090.83–1.410.55
Deficiency anemia1.121.02–1.220.0160.760.64–0.920.0030.780.63–0.980.030
Psychoses1.080.97–1.200.141.040.86–1.260.680.870.68–1.110.26
Depression1.050.95–1.150.351.050.88–1.250.600.910.72–1.150.45
Inpatient stay in FY20081.040.93–1.150.501.451.21–1.73<0.0010.900.70–1.170.44
VA documentation of dementia diagnosis1.050.98–1.140.180.990.86–1.160.940.970.82–1.150.71
  • Multinomial logistic regression was used, with moderate control (HbA1c ≥7% [53 mmol/mol] and <9% [75 mmol/mol]) as the reference category. OR, odds ratio.