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[Diabetes and frailty in the elderly. A prospective study of an outpatient population supported by general
A A Zulfiqar1, A Boulefred2, I A Dembélé1
1Département de Médecine interne, Clinique médicale B, Hôpitaux Universitaires de Strasbourg, France.
Introduction:
Elderly people with diabetes represent a large and growing part of the general practitioners patient database, but their state of frailty compared to the non-diabetic population is poorly understood.
Objective:
To study the relationship between diabetes and frailty in people aged 65 and over in primary care.
Method:
Frailty syndrome was assessed by the Fried Scale and compared between populations of diabetic and non-diabetic patients; 268 patients were studied, including 129 diabetic patients.
Results:
Frailty was found in 27.9 % of older diabetic patients. The observed mean Fried score was 1.76 in people with diabetes versus 1.39 in non-diabetics, with more frail diabetic subjects (p = 0.007). In this study, HbA1c levels showed no significant association to frailty.
Conclusion:
Larger studies in several general practice clinics should be performed on subjects over 65 years of age with or without diabetes.
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