Some older adults with diabetes overtreated for their disease
the ONA take:
According to a new study published in JAMA Internal Medicine, many older adults with diabetes are being overtreated for their disease.
For the study, researchers from Yale University School of Medicine in New Haven, Connecticut, identified nearly 1,300 adults aged 65 years and older with diabetes from the National Health and Nutrition Examination Survey (NHANES) and separated them into three cohorts depending on their state of health: relatively healthy, complex/intermediate health, and very complex/poor health.
Results showed that among all participants, 61.5% had tight glycemic control, which was defined as an A1C less than 7%. In the relatively healthy group, 62.8% had tight glycemic control compared with 63% of those in the complex/intermediate health group and 56.4% of those in the very complex/poor health group.
In addition, about 55% of patients were treated with either sulfonylureas or insulin. Although the American Diabetes Association recommends an A1C level less than 7% among patients with diabetes, older patients are more susceptible to hypoglycemia and may benefit less from such tight glycemic control.
Those with diabetes in complex/intermediate or very complex/poor health are at a higher risk of treatment-related harms and less likely to derive benefit from intensive glycemic control.
Many older adults with diabetes are being overtreated for their disease.
- Acupuncture Improves Postoperative Symptoms in Women Undergoing Surgery for Breast Cancer
- Prehabilitation Program Improves Preoperative Fitness in Patients With Colorectal Cancer
- Alcohol Consumption, Particularly White Wine, Associated With Increased Risk of Melanoma
- Combination of Gemcitabine and New CHK1 Inhibitor Is Effective in Soft Tissue Sarcomas
- Omitting RT in Certain Older Women With Early Breast Cancer is Safe
- Walnut Consumption Changes Gut Microbiome, Decreases Growth of Colon Cancer in Mice
- Vaccine Enters Phase I Study for Safety and Effectiveness in Multiple Myeloma
- Timing Chemotherapy Administration to Circadian Rhythm Improves Drug Effectiveness
- New Therapy Blocks Breast Cancer Cells From Entering and Hiding in Bone Marrow to Form Latent Metastases
- Baseline PSA Levels in Midlife Could Predict Risk of Lethal Prostate Cancer
- Community Breast Navigation Program Improved Breast Screening Rates in Underserved African American and Latino Women
- Live-streamed Videos Address End-of-Life Planning, Decision-making
- Metastatic Disease Linked to Patients Reporting Diminished QoL
- History of Bilateral Salpingo-oophorectomy, Hormone Replacement Therapy Are Predictive of Breast Density at Cancer Diagnosis
- Mammographically Occult Contralateral Breast Cancer Detection is Effective With Preoperative MRI
Sign Up for Free e-newsletters
Regimen and Drug Listings
GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION
|Head and Neck Cancer||Regimens||Drugs|