April 18, 2011 Elderly diabetes patients with very low glucose levels have slightly increased risk of death A new study of
older diabetes patients has found that well - controlled blood sugar levels were associated with a lower risk of major complications such as heart attacks, amputation and kidney disease, but the very lowest blood sugar levels were associated with a small but significant increased risk of death.
Published in the Jan. 12 issue of JAMA Internal Medicine, the study found that many
older diabetes patients received aggressive treatment for their disease regardless of their health status and blood sugar levels.
Not exact matches
Those prices take a toll on
patients like 21 - year -
old Hunter Sego, who needs about four vials a month for his Type 1
diabetes.
«One in four
patients develop heart failure within four years of first heart attack: Risk factors include
older age, socioeconomic deprivation, and
diabetes.»
One in four
patients develop heart failure within four years of a first heart attack, according to a study in nearly 25,000
patients presented today at Heart Failure 2016 and the 3rd World Congress on Acute Heart Failure by Dr Johannes Gho, a cardiology resident at the University Medical Center Utrecht, in Utrecht, the Netherlands.1 Risk factors included
older age, greater socioeconomic deprivation, and comorbidities such as
diabetes.
The results also indicate that
older patients in any age group had higher incidence of all outcomes (nonfatal complications and death) if they had
diabetes for a longer, compared with shorter, duration of time.
Nearly half of the 24 million
patients with
diabetes mellitus in the United States are
older than 60 years and that number is expected to double in the next two decades, according to the study background.
Both groups of animals were equivalent to 55 - to 60 - year -
old morbidly obese
patients with uncontrolled
diabetes, the most difficult population to treat.
Compared to those who did not receive the drugs,
patients prescribed antidepressants were predominantly female,
older, and more likely to have hypertension,
diabetes, dyslipidaemia, obesity and comorbidities.
The researchers collaborated with the Centers for Disease Control and Prevention to review the charts of close to 2,000
patients age 40 or
older with type 1 and type 2
diabetes to see how many had regular eye exams.
However, Abraham's team found that IBD
patients diagnosed at an
older age (e.g., 45 instead of 35), those with metabolic syndrome risk factors (
diabetes, hypertension, obesity, and high cholesterol), and most importantly, those with longer duration of disease regardless of age at diagnosis, are more likely to develop NAFLD.
Among
older patients with
diabetes whose treatment has resulted in very low hemoglobin A1c (HbA1c) levels or blood pressure values, only 27 percent or fewer underwent medication deintensification, a lost opportunity to reduce overtreatment, according to an article published online by JAMA Internal Medicine.
Using data from a United Kingdom database known as The Health Improvement Network (THIN), researchers extracted health records of more than 12,000
patients ages 55 and
older who had Type 2
diabetes and heart failure but no prior history of heart attack, stroke, peripheral artery disease or atrial fibrillation.
According to Dr. McCoy, «This means that 3 out of 100
older or clinically complex
patients with
diabetes who never had hypoglycemia before, whose HbA1C is within recommended targets, and who are not on insulin, will experience a severe hypoglycemic episode at some point over two years.»
Influenza remains a major health problem in the United States, resulting each year in an estimated 36,000 deaths and 200,000 hospitalizations.4 Those who have been shown to be at high risk for the complications of influenza infection are children 6 to 23 months of age; healthy persons 65 years of age or
older; adults and children with chronic diseases, including asthma, heart and lung disease, and
diabetes; residents of nursing homes and other long - term care facilities; and pregnant women.4 It is for this reason that the Centers for Disease Control and Prevention (CDC) has recommended that these groups, together with health care workers and others with direct
patient - care responsibilities, should be given priority for influenza vaccination this season in the face of the current shortage.1 Other high - priority groups include children and teenagers 6 months to 18 years of age whose underlying medical condition requires the daily use of aspirin and household members and out - of - home caregivers of infants less than 6 months
old.1 Hence, in the case of vaccine shortages resulting either from the unanticipated loss of expected supplies or from the emergence of greater - than - expected global influenza activity — such as pandemic influenza, which would prompt a greater demand for vaccination5 — the capability of extending existing vaccine supplies by using alternative routes of vaccination that would require smaller doses could have important public health implications.
A research letter Tanner J. Caverly, M.D., M.P.H., of the Ann Arbor Veterans Affairs Center for Clinical Management Research, Michigan, and coauthors examined the beliefs of primary care health - care professionals (PCPs) as to how receptive they might be to recommendations for limiting medications for some
older patients, including a hypothetical scenario involving a 77 - year -
old man with
diabetes at risk for hypoglycemia.
Among the 50 trials, 30 were primary prevention trials (general populations, smokers and workers exposed to asbestos,
patients with oesophageal dysplasia, male physicians,
patients with non-melanoma skin cancer, postmenopausal women,
patients undergoing chronic haemodialysis,
patients with end stage renal disease, ambulatory elderly women with vitamin D insufficiency,
patients with chronic renal failure,
older people with femoral neck fractures,
patients with
diabetes mellitus, elderly women with a low serum 25 - hydroxyvitamin D concentration, health professionals, people with a high fasting plasma total homocysteine concentration, or kidney transplant recipients), and 20 were secondary prevention trials (
patients with cardiovascular disease, coronary heart disease, acute myocardial infarction, unstable angina, transient ischaemic attack, stroke, angiographically proved coronary atherosclerosis, vascular disease, or aortic valve stenosis).
Her recent research focus has been medication adherence in
older patients with hypertension, adherence to physical activity recommendations in
patients with
diabetes and provider adherence to medication guidelines.
I spoke to middle - aged
patients about
Diabetes and Hypertension and to adolescents about sex, social, or cultural issues - the death of a rap star, for example, why an eight - year -
old shouldn't be drinking Kool - Aid.
Dental disease, heart disease,
diabetes, hyperthyroidism, and many cancers are more common in
older patients.
«One of my first
patients was an
older dog who left the hospital with a seizure disorder and
diabetes.
The rate of progression to absolute insulin deficiency has not been studied in dogs, but epidemiological factors closely match those of human
patients with the LADA form of type 1
diabetes, who are usually not obese and tend to be middle aged and
older.
Type 2
diabetes also occurs most commonly in
older human
patients.
Diabetes is one of the most common endocrine diseases affecting middle - aged and senior dogs, with 70 percent of
patients older than seven at the time of diagnosis.
Sometimes a
patient, usually a middle age or
older pet, will get diarrhea secondary to a metabolic disease like
diabetes mellitus or from liver disease or cancer.