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Age ≥60years was an independent risk factor for diabetes-related complications despite good control of cardiovascular risk factors in patients with type 2 diabetes mellitus

Overview of attention for article published in Experimental Gerontology, February 2013
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Title
Age ≥60years was an independent risk factor for diabetes-related complications despite good control of cardiovascular risk factors in patients with type 2 diabetes mellitus
Published in
Experimental Gerontology, February 2013
DOI 10.1016/j.exger.2013.02.017
Pubmed ID
Authors

Boon How Chew, Sazlina Shariff Ghazali, Mastura Ismail, Jamaiyah Haniff, Mohd Adam Bujang

Abstract

Providing effective medical care for older patients with type 2 diabetes mellitus (T2D) that may contribute to their active aging has always been challenging. We examined the independent effect of age ≥ 60 years on disease control and its relationship with diabetes-related complications in patients with T2D in Malaysia. This was a cross-sectional study using secondary data from the electronic diabetes registry database Adult Diabetes Control and Management (ADCM). A total of 303 centers participated and contributed a total of 70,889 patients from May 2008 to the end of 2009. Demographic data, details on diabetes, hypertension, dyslipidemia and their treatment modalities, various risk factors and complications were updated annually. Independent associated risk factors were identified using multivariate regression analyses. Fifty-nine percent were female. Malay comprised 61.9%, Chinese 19% and Indian 18%. There were more Chinese, men, longer duration of diabetes and subjects that were leaner or had lower BMI in the older age group. Patients aged ≥ 60 years achieved glycemic and lipid targets but not the desired blood pressure. After adjusting for duration of diabetes, gender, ethnicity, body mass index, disease control and treatment, a significantly higher proportion of patients ≥ 60 years suffered from reported diabetes-related complications. Age ≥ 60 years was an independent risk factor for diabetes-related complications despite good control of cardiovascular risk factors. Our findings caution against the currently recommended control of targets in older T2D patients with more longstanding diseases and complications.

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Mendeley readers

The data shown below were compiled from readership statistics for 119 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Malaysia 1 <1%
United Kingdom 1 <1%
Denmark 1 <1%
Unknown 116 97%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 25 21%
Student > Ph. D. Student 17 14%
Student > Master 10 8%
Researcher 7 6%
Lecturer 7 6%
Other 27 23%
Unknown 26 22%
Readers by discipline Count As %
Medicine and Dentistry 36 30%
Nursing and Health Professions 12 10%
Agricultural and Biological Sciences 7 6%
Social Sciences 6 5%
Unspecified 5 4%
Other 20 17%
Unknown 33 28%