Goal Attainment Rate for Parameters of Metabolic Adjustment in Elderly Patients with Type 2 Diabetes Taking a Hypoglycemic Agent

Kang Hee Shim; Moon Sook Hwang; Jeong Eun Park; Jin Hee Jung; Jung Hwa Lee; Bok Rye Song

doi:10.4093/jkd.2018.19.1.58

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Shim, Hwang, Park, Jung, Lee, and Song: Goal Attainment Rate for Parameters of Metabolic Adjustment in Elderly Patients with Type 2 Diabetes Taking a Hypoglycemic Agent

Original Article

The Journal of Korean Diabetes 2018; 19(1): 58-70.

Published online: 27 March 2018

DOI: https://doi.org/10.4093/jkd.2018.19.1.58

Goal Attainment Rate for Parameters of Metabolic Adjustment in Elderly Patients with Type 2 Diabetes Taking a Hypoglycemic Agent

Kang Hee Shim^1,⁷, Moon Sook Hwang², Jeong Eun Park^3,⁷, Jin Hee Jung^4,⁷, Jung Hwa Lee^5,⁷, Bok Rye Song^6,⁷

¹Department of Diabetes Education, Samsung Medical Center, Seoul, Korea.

²Department of Nursing Science, Woosuk University, Wanju, Korea.

³Nursing Department, Cheil General Hospital & Women's Healthcare Center, Seoul, Korea.

⁴Department of Diabetes Education, Seoul National University Bundang Hospital, Seongnam, Korea.

⁵Department of Diabetes Education, Kyung Hee University Hospital at Gangdong, Seoul, Korea.

⁶Department of Diabetes Education, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.

⁷Korea Association of Diabetes Nurse Educators, Korea.

Corresponding author: Moon Sook Hwang. Department of Nursing Science, Woosuk University, 443 Samnye-ro, Samnye-eup, Wanju 55338, Korea, msyellow45@hanmail.net

Received 8 March 2017 Revised 5 April 2017 Accepted 27 December 2017

Korean Diabetes Association

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background

This study aimed to investigate the goal attainment rates for hemoglobin A1c (HbA1c), blood pressure (BP), and low-density lipoprotein cholesterol (LDL-C) in elderly patients with type 2 diabetes.

Methods

The subjects were 762 over 65 years old patients with type 2 diabetes taking a hypoglycemic agent. Data were collected by reviewing medical records and included general characteristics, biochemical tests, prescribed pharmacologic agents, and complications.

Results

The goal attainment rates (mean value) for HbA1c, BP, and LDL-C were 50.4% (7.3% ± 1.2%), 78.9% (126.0 ± 15.1/72.1 ± 10.0 mm Hg), and 60.6% (88.6 ± 29.9 mg/dL). Diabetes-related complications for retinopathy, nephropathy, neuropathy, and cardio-cerebral vascular disease were 36.3%, 37.2%, 23.6%, and 31.9%, respectively. Life habit-related variables positively associated with goal attainment were not drinking alcohol and exercise for HbA1c, not smoking for BP and not drinking alcohol for LDL-C. Metabolic adjustment indicator-related significant variables for complications were HbA1c in retinopathy, BP in nephropathy, and LDL-C in cardio-cerebral disease.

Conclusion

We found that goal attainment rates for parameters of metabolic adjustment were not high in elderly patients with type 2 diabetes. Thus, diabetes educators should be concerned about metabolic adjustment indicators. Also, case management guidelines according to elderly patient health and functional status should be developed to help manage metabolic adjustment.

Keywords: Aged, Blood pressure, Diabetes mellitus, Glycosylated hemoglobin A, LDL cholesterol

Figures and Tables

Table 1

General characteristics and diabetes management-related characteristics (n = 762)

Values are presented as number (%) or mean ± standard deviation. Missing data were excluded.

^aIn case of yes.

Table 2

Diabetes-related metabolic adjustment indicators and goal attainment rates in elderly patients (n=762)

Values are presented as number (%) or mean ± standard deviation. Missing data were excluded.

HbA1c, hemoglobin A1c; PP, post-prandial; BP, blood pressure; LDL-C, low-density lipoprotein cholesterol; HDL-C, high-density lipoprotein cholesterol.

^aIn case of yes, ^badditional analysis.

Table 3

Comparison of hemoglobin A1c (HbA1c) goal attainment according to diabetes-related parameters (n=762)

Values are presented as number (%). Missing data were excluded.

Table 4

Comparison of blood pressure goal attainment according to diabetes-related parameters (n = 762)

Values are presented as number (%). Missing data were excluded.

Table 5

Comparison of low-density lipoprotein cholesterol (LDL-C) goal attainment according to diabetes-related clinical parameters (n = 762)

Values are presented as number (%). Missing data were excluded.

Notes

^{CONFLICTS OF INTEREST} No potential conflicts of interest relevant to this article were reported.

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