Individualized, non-age-based glycemic control in elderly veterans with diabetes

Helmer DA, Sambamoorthi U, Rajan M, Tseng CL, Pogach LM. Individualized, non-age-based glycemic control in elderly veterans with diabetes. Diabetes Care. 2008 Apr 1; 31(4):728-31.

Related HSR&D Project(s)

• IIR 02-079 – Evaluation of Preventable Diabetes Hospitalizations in the VA

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Abstract:

OBJECTIVE: To examine the role of age and endocrinology care in glycemic testing and control in elderly veterans with diabetes. RESEARCH DESIGN AND METHODS: In this retrospective study of Veterans Health Administration clinic users aged > or = 65 years with diabetes, we compared glycemic testing and poor glycemic control (A1C > 9%) between older ( > or = 75 years) and younger (65-74 years) veterans in the year 2000. RESULTS: Without adjustment, rates for glycemic testing were 70.2% in older and 71.1% in younger veterans, and those for poor control were 9.4% in older and 12.8% in younger veterans. After adjustment, older veterans had 1.8% lower probability of glycemic testing and 2.9% lower probability of poor control than younger veterans. Endocrinology care was associated with a higher probability of both glycemic testing (9.7%) and poor control (1.0%), regardless of age. CONCLUSIONS: Glycemic testing and control and effect of endocrinology care were comparable in older and younger veterans with diabetes.