Barrier assessment improves care for elderly with diabetes

Barrier assessment improves care for elderly with diabetes
For older adults with diabetes, an active intervention involving assessment of barriers to self-care and development of strategies to cope with these barriers is superior to usual care, according to research published in the March issue of Diabetes Care.

(HealthDay)—For older adults with diabetes, an active intervention involving assessment of barriers to self-care and development of strategies to cope with these barriers is superior to usual care, according to research published in the March issue of Diabetes Care.

Medha N. Munshi, M.D., of the Joslin Diabetes Center in Boston, and colleagues conducted a randomized, controlled study involving 100 subjects, aged 69 years or older, with poorly controlled diabetes who received either an active intervention from a geriatric diabetes team who assessed patient barriers and developed strategies to help patients cope, or standard care with equal amounts of attention time. The active intervention was implemented for the first six months.

After the active period, the researchers found that the decrease in (HbA1c) levels was −0.45 percent in the and −0.31 percent for control patients. After one year, had declined a further −0.21 percent versus 0 percent for intervention and control patients, respectively (linear mixed model, P = 0.03). Compared with the control group, patients in the intervention group also exhibited improvements in self-care, gait and balance, and endurance compared with control patients. Both groups had improvements in diabetes-related distress.

"Only attention between clinic visits lowers diabetes-related distress in older adults," the authors write. "However, communication with an educator cognizant of patients' barriers improves glycemic control and self-care frequency, maintains functionality, and lowers distress in this population."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Scientist finds clearer obesity, diabetes connection

23 hours ago

(Medical Xpress)—New findings about the biological links between obesity and insulin resistance and Type 2 diabetes may also shed light on the connection between obesity and cancer, says a scientist at ...

New test helps diagnose type 1 diabetes

Aug 21, 2014

(HealthDay)—The U.S. Food and Drug Administration has approved a new test that may help doctors diagnose type 1 diabetes, the most common form diagnosed in children and adolescents.

User comments