Hypoglycemia Is Independently Associated with Multidimensional Impairment in Elderly Diabetic Patients
Joint Authors
Rengo, Giuseppe
Crepaldi, G.
Noale, M.
Maggi, S.
Perin, P. Cavallo
Addante, F.
Tiengo, A.
Pilotto, Alberto
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-13
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Aim.
To identify the characteristics associated with multidimensional impairment, evaluated through the Multidimensional Prognostic Index (MPI), a validated predictive tool for mortality derived from a standardized Comprehensive Geriatric Assessment (CGA), in a cohort of elderly diabetic patients treated with oral hypoglycemic drugs.
Methods and Results.
The study population consisted of 1342 diabetic patients consecutively enrolled in 57 diabetes centers distributed throughout Italy, within the Metabolic Study.
Inclusion criteria were diagnosis of type 2 diabetes mellitus (DM), 65 years old or over, and treatment with oral antidiabetic medications.
Data concerning DM duration, medications for DM taken during the 3-month period before inclusion in the study, number of hypoglycemic events, and complications of DM were collected.
Multidimensional impairment was assessed using the MPI evaluating functional, cognitive, and nutritional status; risk of pressure sores; comorbidity; number of drugs taken; and cohabitation status.
The mean age of participants was 73.3 ± 5.5 years, and the mean MPI score was 0.22 ± 0.13.
Multivariate analysis showed that advanced age, female gender, hypoglycemic events, and hospitalization for glycemic decompensation were independently associated with a worse MPI score.
Conclusion.
Stratification of elderly diabetic patients using the MPI might help to identify those patients at highest risk who need better-tailored treatment.
American Psychological Association (APA)
Pilotto, Alberto& Noale, M.& Maggi, S.& Addante, F.& Tiengo, A.& Perin, P. Cavallo…[et al.]. 2014. Hypoglycemia Is Independently Associated with Multidimensional Impairment in Elderly Diabetic Patients. BioMed Research International،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-506975
Modern Language Association (MLA)
Pilotto, Alberto…[et al.]. Hypoglycemia Is Independently Associated with Multidimensional Impairment in Elderly Diabetic Patients. BioMed Research International No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-506975
American Medical Association (AMA)
Pilotto, Alberto& Noale, M.& Maggi, S.& Addante, F.& Tiengo, A.& Perin, P. Cavallo…[et al.]. Hypoglycemia Is Independently Associated with Multidimensional Impairment in Elderly Diabetic Patients. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-506975
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-506975