The other side of quality improvement in diabetes for seniors: a proposal for an overtreatment glycemic measure.
نویسندگان
چکیده
T HE MANAGEMENT OF diabetes poses challenges at all levels, from affected individuals to society as a whole. Microvascular complications of diabetes have been attributed to poor glycemic control since the Joslin era. This hypothesis was confirmed for patients with type 1 diabetes mellitus by the results of the Diabetes Control and Complications Trial and for patients with type 2 diabetes mellitus by the UK Prospective Diabetes Study. The findings of these trials led to an increasingemphasison tightglucosecontrol
منابع مشابه
The Effectiveness of Cognitive-Behavioral Stress Management Training on Glycemic Control, Psychological Distress and Quality of Life in Patients with Type2 Diabetes
Objective: This study was designed to evaluate the effectiveness of cognitive-behavioral stress management training with regard to glycemic control, psychological distress (depression, anxiety, and stress) and quality of life in patients with type 2 diabetes. Methods: A total of 60 patients with type 2 diabetes (34 females and 26 males mean age 49.5±5.7 y) were included in this study. They w...
متن کاملThe Quality of Life in Relationship with Glycemic Control in People with Type2 Diabetes
Introduction: Diabetes is a complex disease that affects the quality of patient’s life. numerous studies have shown that quality of life in the people with diabetes is less than in people without diabetes, but, less research are discussed about the relationship between the quality of life and glycemic control. This study aimed to evaluate the health-related quality of life and its relatio...
متن کاملافسردگی، کیفیت زندگی و کنترل قند خون در بیماران مبتلا به دیابت
Background: The prevalence of depression in diabetic patients is 2-3 times more than general population. The quality of life (QOL) and glycemic control are two important outcome measures of diabetes management. The aim of this research is to study the relationship between depression, glycemic control and QOL in a sample of Iranian diabetic patients.Methods: One hundred diabetic patients who wer...
متن کاملA Proposal for an Out-of-Range Glycemic Population Health Safety Measure for Older Adults With Diabetes
OBJECTIVE To evaluate patient-level glycemic control and facility variation of a proposed out-of-range (OOR) measure (overtreatment [OT] [HbA1c <7% (53 mmol/mol)] or undertreatment [UT] [>9% (75 mmol/mol)]) compared with the standard measure (SM) (HbA1c <8% [64 mmol/mol]) in high-risk older adults. RESEARCH DESIGN AND METHODS Veterans Health Administration patients ≥65 years of age in 2012 wh...
متن کاملنوروپاتی محیطی در بیماران دیابتی و عوامل مؤثر برآن
At least 2 million people are affected by type II diabetes mellitus in Iran. Neuropathy is one of the commonest complications of diabetes affecting the quality of life of patients and can result in foot ulcer and amputation. The current study aimed to examine possible factors that could alter development of diabetic neuropathy.Methods: In this case-control study, 110 diabetic patients were sele...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Archives of internal medicine
دوره 172 19 شماره
صفحات -
تاریخ انتشار 2012