Evaluation of an intra‐institutional diabetes disease management program for the glycemic control of elderly long‐term care diabetic patients

Abstract

No case of hypoglycemia was detected on the examination day, or during the preceding 3 weeks. No significant difference was found among the different Functional Outcome Swallowing Scale categories. These results are within satisfactory range for this category of patients suggesting that our diabetes disease management program contributes to a better glycemic control.

Effect of Home Enteral Nutrition on Diabetes and Its Management

“…This prevalence rate was much lower than the prevalence rate of DM in the general U.S. population and was also lower than 7.78% prevalence rate noted in HEN patients from the United Kingdom . Other studies evaluating the prevalence of DM and hyperglycemia in patients receiving EN have focused on hospitalized patients or those residing in skilled nursing facilities and revealed much higher rates of DM (≈36%) consistent with their higher clinical acuity compared with our outpatient population …”

“…Other studies investigating DM medication use in skilled nursing home residents admitted to the hospital noted that 35% of patients were treated with insulin, 29% with OHGs, and 36% were diet controlled . Unfortunately, this study did not differentiate between patients receiving jejunal vs gastric feeds.…”

“…Other studies investigating DM medication use in skilled nursing home residents admitted to the hospital noted that 35% of patients were treated with insulin, 29% with OHGs, and 36% were diet controlled. 31 Unfortunately, this study did not differentiate between patients receiving jejunal vs gastric feeds. Hsia et al 22 did conduct a prospective trial in hospitalized patients that assessed the impact of various insulin formulations (basal/bolus glargine/lispro, 70/30 biphasic insulin twice a day, and 70/30 insulin 3 times per day) on glycemic control.…”

“…21 Other studies evaluating the prevalence of DM and hyperglycemia in patients receiving EN have focused on hospitalized patients or those residing in skilled nursing facilities and revealed much higher rates of DM (36%) consistent with their higher clinical acuity compared with our outpatient population. 31 Due to the inherent differences in the manner with which EN (bolus vs continuous) is provided and its impact on glycemic control and management, we divided our cohort based on whether patients had a jejunostomy or gastrostomy tube. At baseline, there was no difference between the 2 groups in terms of DM management, with the majority of our patients being treated with either oral agents or insulin.…”

Health‐social partnership intervention programme for community‐dwelling older adults: a research protocol for a randomized controlled trial

“…Apart from routine measuring at the baseline (T1), after the intervention (T2) and 3 months after the intervention (T3), frequent blood pressure and blood glucose monitoring will be encouraged to continue monitoring the health status (Lubart et al . , Thabit & Hovorka ). Thus, it is suggested that clients seek regular monitoring from their community centre throughout the period of study.…”