Longitudinal Trends in the Prevalence of Diabetes Mellitus in an Urban Emergency Department

Sterling, Sarah A.; Jones, Alan E.; Cox, Robert D.

doi:10.14423/smj.0000000000000447

Cited by 6 publications

(4 citation statements)

References 23 publications

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“…The objective of this study was to investigate the age distribution of patients with type 2 diabetes in light of American Diabetes Association screening recommendations at age 45. Previous studies showed that claims data can be used to estimate the prevalence of diabetes and its associated complications and that claims data compare favorably with traditional health survey estimates (2,13). These studies demonstrated that the demographic distribution of unique emergency patients is similar to the demographic distribution of census estimates of the general population and is thus useful for tracking diabetes cross-sectionally for a large proportion of the population in a given geographic area (2).…”

Section: Introductionmentioning

confidence: 99%

Age Disparities Among Patients With Type 2 Diabetes and Associated Rates of Hospital Use and Diabetic Complications

et al. 2019

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Introduction Although screening for diabetes is recommended at age 45, some populations may be at greater risk at earlier ages. Our objective was to quantify age disparities among patients with type 2 diabetes in New York City. Methods Using all-payer hospital claims data for New York City, we performed a cross-sectional analysis of patients with type 2 diabetes identified from emergency department visits during the 5-year period 2011–2015. We estimated type 2 diabetes prevalence at each year of life, the age distribution of patients stratified by decade, and the average age of patients by sex, race/ethnicity, and geographic location. Results We identified 576,306 unique patients with type 2 diabetes. These patients represented more than half of all people with type 2 diabetes in New York City. Patients in racial/ethnic minority groups were on average 5.5 to 8.4 years younger than non-Hispanic white patients. At age 45, type 2 diabetes prevalence was 10.9% among non-Hispanic black patients and 5.2% among non-Hispanic white patients. In our geospatial analyses, patients with type 2 diabetes were on average 6 years younger in hotspots of diabetes-related emergency department use and inpatient hospitalizations. The average age of patients with type 2 diabetes was also 1 to 2 years younger in hotspots of microvascular diabetic complications. Conclusion We identified profound age disparities among patients with type 2 diabetes in racial/ethnic minority groups and in neighborhoods with poor health outcomes. The younger age of these patients may be due to earlier onset of diabetes and/or earlier death from diabetic complications. Our findings demonstrate the need for geographically targeted interventions that promote earlier diagnosis and better glycemic control.

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Section: Introductionmentioning

confidence: 99%

Age Disparities Among Patients With Type 2 Diabetes and Associated Rates of Hospital Use and Diabetic Complications

et al. 2019

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“…B ecause the prevalence of diabetes mellitus or chronic renal failure on hemodialysis is increasing, 1,2) the incidence of complex calcified lesions is also increasing in the current percutaneous coronary interventions (PCI). 3) Rotational atherectomy (RA) is mostly used for lesion modifications in severely calcified lesions in the current PCI.…”

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confidence: 99%

Trapping Balloon Technique for Removal of the Burr in Rotational Atherectomy

et al. 2018

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Because rotational atherectomy (RA) has several unique complications, such as burr entrapment, vessel perforation, and slow flow, it is important for interventional cardiologists to be familiar with bailout procedures for such complications. The principal part of bailout procedures is to keep a guidewire in the target coronary artery during the procedure. However, it is not easy to keep a guidewire in the same position during the removal of a burr because the length of the RA guidewires is 300 cm, and the removal of a burr requires collaboration between the primary operator and an assistant. We describe the case of an 83-year-old male with stable angina. We performed RA to the left anterior descending artery, and removed the burr using a KUSABI (Kaneka Medix Corporation, OSAKA, Japan) trapping balloon technique without activating the dynaglide mode. This simple technique would help RA operators remove a burr more reliably than the conventional removal technique.

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“…There are various studies in the international literature, regarding dietary standards related to clinical indicators of diabe-tes [4] with prevalence of obesity [5,6], but also of the classical risk factors, such as predisposition [7], cardiovascular diseases [8], dyslipidemia [9,10], high blood pressure (hypertension) [11]. And age [12] in diabetic population.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Inter Relationship between Obesity and Diabetes Mellitus Type 2: A Clinical Pilot Study

Pavlidou,

Fasoulas,

Petridis

et al. 2023

AustinJNutriFoodSci

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Purpose: This study aims to investigate the effect of anthropometric parameters and clinical indexes on a sample of diabetic patients. Material and Methods: 440 patients with Type 2 diabetes (T2D), with an average age of 49.9 years, who were selected from a sample of 2.500 cases. Entry criteria for the group were the long-term follow-up period of patients and the repeatability of lab tests. Results: A strong effect was observed between Body Mass Index (BMI) and hyperglycemia. The frequency of T2D occurrence, was higher in overweight patients (>25 kg/m²) than in those with normal weight (<25 kg/m²). The mean BMI of newly diagnosed diabetic patients was 30.2 Kg/m². There was found a dependence between BMI and sex with the occurrence of cholelithiasis-cholecystitis, with a higher incidence in the class of obese and women. People with normal weight were found to have T2D at a younger age than the other BMI classes that did not differ from each other. Women show higher glucose concentrations than men with normal body weight. At the same BMI class, blood glucose is higher in women than in overweight class. In men no change in glucose was observed at the different BMI classes. The transition of hemoglobin (HbA1c) from step 2 (>7%) to step 1 (<7%) causes a triglyceride concentration reduction of 14.5%. BMI was recorded as the third factor correlated with hyperglycemia, after predisposition and hyperlipidemia and before diastolic blood pressure and age. Conclusions: At the ascertainment of the newly diagnosed T2D, the presence or not of obesity, determined of BMI, does not affect blood glucose levels in men. In women the normal BMI levels are not deterrent factors of high glucose values, nor age, regardless of gender. BMI is classified as third correlation factor of highglucose values in newly diagnosed diabetics.

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Longitudinal Trends in the Prevalence of Diabetes Mellitus in an Urban Emergency Department

Cited by 6 publications

References 23 publications

Age Disparities Among Patients With Type 2 Diabetes and Associated Rates of Hospital Use and Diabetic Complications

Age Disparities Among Patients With Type 2 Diabetes and Associated Rates of Hospital Use and Diabetic Complications

Trapping Balloon Technique for Removal of the Burr in Rotational Atherectomy

Evaluating the Inter Relationship between Obesity and Diabetes Mellitus Type 2: A Clinical Pilot Study

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