Glycemic control of older adults with type 2 diabetes

Findings from the Third National Health and Nutrition Examination Survey, 1988-1994

Ronald I. Shorr, Lonneke V. Franse, Helaine E. Resnick, Mauro Di Bari, Karen Johnson, Marco Pahor

Research output: Contribution to journalArticle

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Abstract

BACKGROUND: Although nearly half of all people who have diabetes are aged 65 or older, glycemic control of older adults with diabetes has not been well described. METHODS: We conducted a cross-sectional study of 1,482 participants with self-reported type 2 diabetes in the Third National Health and Nutrition Examination Survey, 1988-1994 (NHANES III), a nationally representative sample of the US noninstitutionalized civilian population. Variables included in this analysis included age, sociodemographic factors, drug treatment, and level of glycemic control. RESULTS: The mean % (±SE) HbA(1c) was 7.78 ± 0.21, 7.64 ± 0.18, 7.71 ± 0.14, and 7.27 ± 0.14 in persons aged 20 to 54, 55 to 64, 65 to 74 and ≥ 75 years, respectively. The mean mg/dL (±SE) fasting plasma glucose (FPG) was 175.9 ± 7.6, 164.5 ± 6.1,183.3 ± 5.3, and 158.5 ± 5.5 in the four age groups and older, respectively. When controlling for race, gender, education, and duration of diabetes, age was not significantly associated with levels of HbA(1c) [P (trend) =0.17] or FPG [P (trend) =0.19]. Among NHANES III participants aged 65 or older, ADA guidelines for glycemic control (HbA(1c) < 7%) were achieved by 71%, 44%, and 27% of persons using no drug therapy, oral hypoglycemic agents, and insulin, respectively. CONCLUSIONS: Although many older adults with type 2 diabetes do not achieve targets for glucose control, there is no evidence to suggest that community-dwelling older adults with diabetes are treated less vigorously than younger persons with diabetes.

Original languageEnglish (US)
Pages (from-to)264-267
Number of pages4
JournalJournal of the American Geriatrics Society
Volume48
Issue number3
DOIs
StatePublished - Jan 1 2000

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Nutrition Surveys
Type 2 Diabetes Mellitus
Glucose
Fasting
Independent Living
Age Factors
Hypoglycemic Agents
Age Groups
Cross-Sectional Studies
Guidelines
Insulin
Education
Drug Therapy
Pharmaceutical Preparations
Population
Therapeutics

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

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Glycemic control of older adults with type 2 diabetes : Findings from the Third National Health and Nutrition Examination Survey, 1988-1994. / Shorr, Ronald I.; Franse, Lonneke V.; Resnick, Helaine E.; Di Bari, Mauro; Johnson, Karen; Pahor, Marco.

In: Journal of the American Geriatrics Society, Vol. 48, No. 3, 01.01.2000, p. 264-267.

Research output: Contribution to journalArticle

Shorr, Ronald I. ; Franse, Lonneke V. ; Resnick, Helaine E. ; Di Bari, Mauro ; Johnson, Karen ; Pahor, Marco. / Glycemic control of older adults with type 2 diabetes : Findings from the Third National Health and Nutrition Examination Survey, 1988-1994. In: Journal of the American Geriatrics Society. 2000 ; Vol. 48, No. 3. pp. 264-267.
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abstract = "BACKGROUND: Although nearly half of all people who have diabetes are aged 65 or older, glycemic control of older adults with diabetes has not been well described. METHODS: We conducted a cross-sectional study of 1,482 participants with self-reported type 2 diabetes in the Third National Health and Nutrition Examination Survey, 1988-1994 (NHANES III), a nationally representative sample of the US noninstitutionalized civilian population. Variables included in this analysis included age, sociodemographic factors, drug treatment, and level of glycemic control. RESULTS: The mean {\%} (±SE) HbA(1c) was 7.78 ± 0.21, 7.64 ± 0.18, 7.71 ± 0.14, and 7.27 ± 0.14 in persons aged 20 to 54, 55 to 64, 65 to 74 and ≥ 75 years, respectively. The mean mg/dL (±SE) fasting plasma glucose (FPG) was 175.9 ± 7.6, 164.5 ± 6.1,183.3 ± 5.3, and 158.5 ± 5.5 in the four age groups and older, respectively. When controlling for race, gender, education, and duration of diabetes, age was not significantly associated with levels of HbA(1c) [P (trend) =0.17] or FPG [P (trend) =0.19]. Among NHANES III participants aged 65 or older, ADA guidelines for glycemic control (HbA(1c) < 7{\%}) were achieved by 71{\%}, 44{\%}, and 27{\%} of persons using no drug therapy, oral hypoglycemic agents, and insulin, respectively. CONCLUSIONS: Although many older adults with type 2 diabetes do not achieve targets for glucose control, there is no evidence to suggest that community-dwelling older adults with diabetes are treated less vigorously than younger persons with diabetes.",
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AU - Di Bari, Mauro

AU - Johnson, Karen

AU - Pahor, Marco

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AB - BACKGROUND: Although nearly half of all people who have diabetes are aged 65 or older, glycemic control of older adults with diabetes has not been well described. METHODS: We conducted a cross-sectional study of 1,482 participants with self-reported type 2 diabetes in the Third National Health and Nutrition Examination Survey, 1988-1994 (NHANES III), a nationally representative sample of the US noninstitutionalized civilian population. Variables included in this analysis included age, sociodemographic factors, drug treatment, and level of glycemic control. RESULTS: The mean % (±SE) HbA(1c) was 7.78 ± 0.21, 7.64 ± 0.18, 7.71 ± 0.14, and 7.27 ± 0.14 in persons aged 20 to 54, 55 to 64, 65 to 74 and ≥ 75 years, respectively. The mean mg/dL (±SE) fasting plasma glucose (FPG) was 175.9 ± 7.6, 164.5 ± 6.1,183.3 ± 5.3, and 158.5 ± 5.5 in the four age groups and older, respectively. When controlling for race, gender, education, and duration of diabetes, age was not significantly associated with levels of HbA(1c) [P (trend) =0.17] or FPG [P (trend) =0.19]. Among NHANES III participants aged 65 or older, ADA guidelines for glycemic control (HbA(1c) < 7%) were achieved by 71%, 44%, and 27% of persons using no drug therapy, oral hypoglycemic agents, and insulin, respectively. CONCLUSIONS: Although many older adults with type 2 diabetes do not achieve targets for glucose control, there is no evidence to suggest that community-dwelling older adults with diabetes are treated less vigorously than younger persons with diabetes.

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