Type 2 Diabetes Care in the Elderly

Bigelow, April; Freeland, Barbara

doi:10.1016/j.nurpra.2016.08.010

Cited by 10 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, the demand of insulin may increase in the human body in certain context or improper utilization of insulin by the body among aged people 42,43 . The suggestive actions for older adults were maintaining blood pressure, blood sugar through improving lifestyle [44][45][46][47][48][49][50][51] .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Diabetes Mellitus and Its Associated Factors in Bangladesh: Application of Two-level Logistic Regression Model

Talukder

Hossain

2020

Sci Rep

View full text Add to dashboard Cite

this study intends to explore the prevalence of diabetes mellitus (DM) and its associated factors in Bangladesh. the necessary information was extracted from Bangladesh Demographic and Health Survey (BDHS) 2011. In bivariate analysis, Chi-square test was performed to assess the association between selected covariates and diabetes status. A two-level logistic regression model with a random intercept at each of the individual and regional level was considered to identify the risk factors of DM. A total of 7,535 individuals were included in this study. From the univariate analysis, the prevalence of DM was found to be 33.3% in 50-54 age group for instance. In bivariate setup, all the selected covariates except sex of the participants were found significant for DM (p < 0.05). According to the two-level logistic regression model, the chance of occurring DM increases as age of the participants' increases. It was observed that female participants were more likely to have DM. The occurrence of DM was 62% higher for higher educated participants, 42% higher for the individuals who came from rich family and 63% higher for the individuals having hypertension. The chance of developing diabetes among overweighed people was almost double. However, the individuals engaged in physical work had less chance to have DM. this study calls for greater attention of government and other concerned entities to come up with appropriate policy interventions to lower the risk of DM. The epidemic of the century-Diabetes Mellitus (DM), often referred as simply diabetes, is a set of metabolic disorder or syndrome recognized as chronic hyperglycemia (presence of high blood sugar) occurs due to imperfections in insulin action, insulin secretion, or both 1,2. It is now prevalent across the world with multiple complications 3-5. In 2014, around 422 million people were affected by DM and 1.5 million deaths were reported in 2012 6,7. According to WHO report, 2016, 8% (12.88 million) of total population of Bangladesh was affected by diabetes whereas 3% of total deaths of all-ages occurred due to diabetes 8. An increasing rate in the prevalence of DM among the Bangladeshi populace is also observed over time 9. Diabetes may result in a wide range of physiological as well as psychological problems including sexual disorder 10. The lower sexual functions or dysfunctions termed as loss of libido may be observed in both females and males as a consequence of DM 11-18. In addition, severe vision loss, acute renal diseases which may require dialysis or kidney transplant, myocardial infarction otherwise known as heart attack, cerebrovascular diseases like stroke, and hypertension are markedly observed 19-27. Due to the intensity of the adverse effects of diabetes, it is important to find out the determinants to address the issue in order to contribute to improving country health situation. Diabetes mellitus (DM) is a disease that relies on many factors and may vary over time and region. Accordingly, it requires to be screened on a constant basis. Previously, man...

show abstract

Section: Discussionmentioning

confidence: 99%

Prevalence of Diabetes Mellitus and Its Associated Factors in Bangladesh: Application of Two-level Logistic Regression Model

Talukder

Hossain

2020

Sci Rep

View full text Add to dashboard Cite

show abstract

“…These studies have identified risk factors for TB in the elderly, including aging itself, male sex, smoking, and malnutrition, undernutrition or low body mass index (BMI) [11]. Although diabetes increases the risk of TB by 3-fold among adults [13], the link between TB and diabetes in the elderly has not been formally studied. Instead, association studies among all adults suggest a stronger link to diabetes among middle-aged vs. older adults (e.g.…”

Section: Introductionmentioning

confidence: 99%

A prospective cross-sectional study of tuberculosis in elderly Hispanics reveals that BCG vaccination at birth is protective whereas diabetes is not a risk factor

Scordo

Aguillón-Durán²,

Ayala³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

Background Aging increases the risk of tuberculosis (TB) and its adverse outcomes, but most studies are based on secondary analyses, and few are in Hispanics. Diabetes is a risk factor for TB in adults, but its contribution in the elderly is unknown. We aimed to identify the role of diabetes and other risk factors for TB in elderly Hispanics. Methods Cross-sectional study among newly-diagnosed TB patients, recent contacts (ReC), or community controls (CoC) totaling 646 participants, including 183 elderly (>60 years; 43 TB, 80 ReC, 60 CoC) and 463 adults (18 to 50 years; 80 TB, 301 ReC and 82 CoC). Host characteristics associated with TB and latent Mycobacterium tuberculosis infection (LTBI) were identified in the elderly by univariable and confirmed by multivariable logistic regression. Results LTBI was more prevalent among the elderly CoC (55% vs. 23.2% in adults; p<0.001), but not in ReC (elderly 71.3% vs. adult 63.8%); p = 0.213). Risk factors for TB in the elderly included male sex (adj-OR 4.33, 95% CI 1.76, 10.65), smoking (adj-OR 2.55, 95% CI 1.01, 6.45) and low BMI (adj-OR 12.34, 95% CI 4.44, 34.33). Unexpectedly, type 2 diabetes was not associated with TB despite its high prevalence (adj-OR 0.38, 95% CI 0.06, 2.38), and BCG vaccination at birth was protective (adj-OR 0.16, 95% CI 0.06, 0.45). Conclusions We report novel distinctions in TB risk factors in the elderly vs. adults, notably in diabetes and BCG vaccination at birth. Further studies are warranted to address disparities in this vulnerable, understudied population.

show abstract

“…Dietary principles are the pillars of nonpharmacological treatment of type 2 diabetes mellitus. However, older adults have formed lifetime habits that may be difficult to change [13].…”

Section: Discussionmentioning

confidence: 99%

Clinical and epidemiological differences in diabetes: A cross-sectional study of the Brazilian population compared with the French GERODIAB cohort

Bezerra

Saintrain

Lima

et al. 2020

Diabetes Research and Clinical Practice

View full text Add to dashboard Cite

Type 2 Diabetes Care in the Elderly

Cited by 10 publications

References 12 publications

Prevalence of Diabetes Mellitus and Its Associated Factors in Bangladesh: Application of Two-level Logistic Regression Model

Prevalence of Diabetes Mellitus and Its Associated Factors in Bangladesh: Application of Two-level Logistic Regression Model

A prospective cross-sectional study of tuberculosis in elderly Hispanics reveals that BCG vaccination at birth is protective whereas diabetes is not a risk factor

Clinical and epidemiological differences in diabetes: A cross-sectional study of the Brazilian population compared with the French GERODIAB cohort

Contact Info

Product

Resources

About