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Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: Data from the Adult Diabetes Control and Management
Author(s) -
Sazlina ShariffGhazali,
Mastura Ismail,
Ahmad Zaiton,
Cheong AiTheng,
Adam BujangMohamad,
Jamaiyah Haniff,
Lee PingYein,
SyedAlwi SyedAbdulRahman,
Chew BoonHow,
SriWahyu Taher
Publication year - 2014
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12070
Subject(s) - medicine , diabetes mellitus , waist , body mass index , type 2 diabetes mellitus , type 2 diabetes , disease , blood pressure , hemoglobin a , endocrinology
Aim The aims of the present study were to assess the control of glycemia and other cardiovascular disease risk factors, and the association between age and these controls among older adults with type 2 diabetes in M alaysia. Methods A cross‐sectional study was carried out using cases notified to the A dult D iabetes C ontrol and M anagement database between 1 J anuary and 31 D ecember 2009. A total of 10 363 people aged over 60 years with type 2 diabetes mellitus were included in the analyses. A standard online case report form was used to record demographic data, clinical factors (diabetes duration, comorbid condition and treatment modalities), cardiovascular disease risk factors, diabetes complications and laboratory assessments. The cardiovascular disease risk factors controls assessed included glycosylated hemoglobin ( HbA 1c ) <7.0%, blood pressure, body mass index, waist circumference and lipid profiles. Results The proportion of older adults who achieved target HbA 1c (<7.0%) was 41.7%. A greater proportion of older adults aged ≥80 years significantly achieved the targets of HbA 1c <7% ( P < 0.001), waist circumference ( P < 0.001), low‐density lipoprotein cholesterol <2.6 mmol/L ( P = 0.007) and triglycerides <1.7 mmol/L ( P = 0.001) when compared with the younger elderly groups. They were also associated with achieving target HbA 1c <7.0% ( OR = 1.90, 95% CI 1.68–2.26) and triglycerides <1.7 mmol/L ( OR = 1.20, 95% CI 1.04–1.46) than those aged 60–69 years. Conclusion The control of cardiovascular disease risk factors was suboptimal in older adults with type 2 diabetes. The oldest elderly were more likely to achieve target HbA 1c (<7.0%) and triglycerides (<1.7 mmol/L) than older adults aged 60–69 years. Geriatr Gerontol Int 2014; 14: 130–137.