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Adherence to diabetes guidelines for screening, physical activity and medication and onset of complications and death

Yiqun Chen1, Frank A Sloan1, Arseniy P Yashkin1

  • 1Department of Economics, Duke University, 213 Social Sciences Building, Box 90097, Durham, NC, 27708.

Journal of Diabetes and Its Complications
|August 29, 2015
PubMed

Insights

Adhering to diabetes care guidelines, including regular screening, physical activity, and medication, significantly reduces the risk of complications and mortality in older adults. These healthy habits are crucial for managing diabetes and improving long-term outcomes.

Area of Science:

  • Gerontology
  • Public Health
  • Endocrinology

Background:

  • Diabetes care guidelines aim to prevent complications and improve outcomes.
  • Adherence to these guidelines is variable and its impact on long-term health in older adults requires investigation.

Purpose of the Study:

  • To analyze the relationship between adherence to diabetes care guidelines (screening, physical activity, medication) and the risk of diabetes-related complications and mortality.
  • To assess the impact of adherence on specific outcomes such as congestive heart failure, stroke, renal failure, lower extremity complications, amputations, retinopathy, and overall mortality.

Main Methods:

  • Utilized data from the Health and Retirement Study (HRS) 2003 Diabetes Study, focusing on individuals aged 65+ with Medicare claims.
  • Examined outcomes including congestive heart failure (CHF), stroke, renal failure, lower extremity complications, lower-limb amputation, proliferative diabetic retinopathy (PDR), and mortality between 2004-2008.

Main Results:

  • Adherence to screening guidelines reduced risks of CHF, stroke, renal failure, and death.
  • Physical activity adherence lowered risks of stroke, renal failure, lower extremity complications, amputation, and death.
  • Medication adherence was linked to a reduced risk of proliferative diabetic retinopathy (PDR).

Conclusions:

  • Adherence to screening, physical activity, and medication guidelines is associated with significantly lower risks of diabetes complications and mortality in older adults.
  • The relative importance of adherence to specific guidelines varies depending on the outcome measure.
Abstract

Keywords:
Diabetes complicationsGuidelinesHealth and Retirement StudyMortalityPhysical activity

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