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Diabetes in the elderly in a developing country.

D J Fernando1, C E de Silva, S F Nanayakkara

  • 1Sri Jayawardenepura General Hospital, Talapathpitiya, Nugegoda, Sri Lanka.

Diabetes Research and Clinical Practice
|March 1, 1992
PubMed
Summary

Diabetes in the elderly is a significant health issue in Sri Lanka, causing increased hospital admissions and complications. This study highlights the need for better health planning for older diabetic patients.

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Area of Science:

  • Geriatrics
  • Endocrinology
  • Public Health

Background:

  • Diabetes mellitus in the elderly is often overlooked in developing countries.
  • Health planners frequently underestimate the prevalence and impact of diabetes in older populations.

Purpose of the Study:

  • To assess the prevalence of diabetes mellitus complications in elderly patients (aged 60 and over).
  • To determine the frequency of hospital admissions among elderly diabetic patients in Sri Lanka.
  • To compare morbidity rates in elderly diabetics versus age- and gender-matched controls.

Main Methods:

  • Retrospective analysis of patients in a hospital diabetic clinic in Sri Lanka.
  • Inclusion of patients aged 60 and over.
  • Comparison with age- and gender-matched control groups.

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Main Results:

  • Elderly diabetic patients constituted 23% of clinic attendees but accounted for 46% of hospital admissions.
  • Increased prevalence of coronary artery disease, peripheral vascular disease, cerebrovascular disease, hypertension, and visual impairment was observed in elderly diabetics compared to controls.

Conclusions:

  • Diabetes mellitus in the elderly is a substantial contributor to morbidity in Sri Lanka.
  • The findings challenge the notion that diabetes in the elderly is uncommon in developing nations.
  • Urgent attention and resources are needed for managing diabetes in older adults.