Are elderly patients with diabetes being overtreated in French long-term-care homes?

摘要: Abstract Aim In France, diabetes prevalence and ageing of the population are both on increase, yet little information in elderly patients living geriatric institutions is available. Moreover, institutionalized diabetic not included French recommendations for management elderly. For this reason, aim present study was to evaluate older, patients. Methods The medical records 100 diabetic patients, aged 65 years over, seven Cote d'Or region were studied from May 2008 January 2009. Results Prevalence these 15.46±4.9%, higher than general population. had a mean age 81.85±11.93 years, 32% glycated haemoglobin (HbA 1c ) less or equal 6.5%, indicating high risk severe hypoglycaemia. A diet prescribed 54% but HbA levels did differ between following (7.26±1.36% vs 7.11±1.10%, respectively; P =0.27). Creatinine assessed 87% 16% ophthalmologically followed-up. Daily capillary blood glucose monitoring performed 100% taking insulin 17% those oral antidiabetic treatment ( Conclusion Our data show that, among older control too tight, with potential Antidiabetic should be reduced when value 7.5% frail functionally dependent Furthermore, diet, more half population, useless glycaemic may even impinge quality life.