Evidence map›Paper›PMID 32054294›Full record

ArticleJournal of diabetes science and technology2021

Diabetes Management According to Health Status in Older Adults with Type 2 Diabetes Staying in Geriatric Care Facilities.

Angela Libiseller, Katharina M Lichtenegger, Antonella de Campo, Tatjana Wiesinger, Gerald Cuder, Klaus Donsa, Bernhard Höll, Peter Beck, Johannes Plank, Walter Schippinger and 1 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of diabetes science and technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 52% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Angela LibisellerDivision of Endocrinology and Diabetology, Medical University of Graz, Austria.
Katharina M LichteneggerDivision of Endocrinology and Diabetology, Medical University of Graz, Austria.ORCID 0000-0001-8778-1994
Antonella de CampoGeriatric Health Centers of the City of Graz, Steiermark, Austria.
Tatjana WiesingerGeriatric Health Centers of the City of Graz, Steiermark, Austria.
Gerald CuderDivision of Endocrinology and Diabetology, Medical University of Graz, Austria.
Klaus DonsaJOANNEUM RESEARCH ForschungsgesellschaftmbH, Graz, Steiermark, Austria.
Bernhard HöllJOANNEUM RESEARCH ForschungsgesellschaftmbH, Graz, Steiermark, Austria.
Peter BeckJOANNEUM RESEARCH ForschungsgesellschaftmbH, Graz, Steiermark, Austria.
Johannes PlankDivision of Endocrinology and Diabetology, Medical University of Graz, Austria.
Walter SchippingerGeriatric Health Centers of the City of Graz, Steiermark, Austria.
Thomas R PieberDivision of Endocrinology and Diabetology, Medical University of Graz, Austria.
Joanneum Research · ATMedical University of Graz · ATGeriatrische Gesundheitszentren · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbout 25% of adults >70 years suffer from type 2 diabetes. Due to the heterogeneity of the geriatric population, guidelines emphasize the need to individualize glycemic goals and simplify treatment strategies with the main focus of avoiding hypoglycemia. The aim of this study was to assess glycemic control in patients with type 2 diabetes in geriatric care facilities based on their individual health status.

methods170 medical records of older adults with type 2 diabetes in geriatric care facilities were retrospectively assessed (64.7% female, age 80 ± 9 years; glycated hemoglobin 6.8% ± 3.6% [51 ± 16 mmol/mol]; body mass index 27.9 ± 5.8 kg/m

resultsThe overall blood glucose (BG) value was highest in the poor health group with 188 ± 47 mg/dL (poor) vs 167 ± 42 mg/dL (complex) vs 150 ± 34 mg/dL (healthy). BG values of 1.6% (poor) vs 2.8% (complex) vs 1.5% (healthy) of patients were below 90 mg/dL. 36.8% (poor) vs 23.4% (complex) vs 18.5% (healthy) of patients received insulin as the main diabetes therapy, but of these only 14.3% (poor) vs 20% (complex) vs 40% (healthy) were treated with basal insulin.

conclusionsOverall, BG values were higher in the poor and complex health group. There were a few low BG values in all groups. Although recommended by international guidelines, basal insulin therapy with its low complexity and low hypoglycemic risk is still underused, especially in the poor health group. Therefore, simplification of diabetes therapy should be considered further.

Indexed as

Diabetes Mellitus, Type 2HypoglycemiaAgedAged, 80 and overBlood GlucoseFemaleGlycated HemoglobinHealth StatusHumansHypoglycemic AgentsInsulinMaleRetrospective StudiesBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulinalgorithmclinical decision supportdiabetes therapydigitalizationelderlyquality of care

Identifiers

PMID32054294
PMCPMC8120046
OpenAlexW3006338518

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.