Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the adult diabetes control and management

Aim: The aims of the present study were to assess the control of glycemia and other cardiovascular disease risk factors, and the association between age and these controls among older adults with type 2 diabetes in Malaysia. Methods: A cross‐sectional study was carried out using cases notified to t...

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Main Authors: Shariff Ghazali, Sazlina, Ismail, Mastura, Ahmad, Zaiton, Cheong, Ai Theng, Bujang, Mohamad Adam, Haniff, Jamaiyah, Lee, Ping Yein, Syed Abdul Rahman, Syed Alwi, Chew, Boon How, Taher, Sri Wahyu
Format: Article
Language:English
Published: Japan Geriatrics Society 2014
Online Access:http://psasir.upm.edu.my/id/eprint/36907/1/Control%20of%20glycemia%20and%20other%20cardiovascular%20disease%20risk%20factors%20in%20older%20adults%20with%20type%202%20diabetes%20mellitus%20data%20from%20the%20adult%20diabetes%20control%20and%20management.pdf
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spelling oai:psasir.upm.edu.my:36907 http://psasir.upm.edu.my/id/eprint/36907/ Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the adult diabetes control and management Shariff Ghazali, Sazlina Ismail, Mastura Ahmad, Zaiton Cheong, Ai Theng Bujang, Mohamad Adam Haniff, Jamaiyah Lee, Ping Yein Syed Abdul Rahman, Syed Alwi Chew, Boon How Taher, Sri Wahyu Aim: The aims of the present study were to assess the control of glycemia and other cardiovascular disease risk factors, and the association between age and these controls among older adults with type 2 diabetes in Malaysia. Methods: A cross‐sectional study was carried out using cases notified to the Adult Diabetes Control and Management database between 1 January and 31 December 2009. A total of 10 363 people aged over 60 years with type 2 diabetes mellitus were included in the analyses. A standard online case report form was used to record demographic data, clinical factors (diabetes duration, comorbid condition and treatment modalities), cardiovascular disease risk factors, diabetes complications and laboratory assessments. The cardiovascular disease risk factors controls assessed included glycosylated hemoglobin (HbA1c) <7.0%, blood pressure, body mass index, waist circumference and lipid profiles. Results: The proportion of older adults who achieved target HbA1c (<7.0%) was 41.7%. A greater proportion of older adults aged ≥80 years significantly achieved the targets of HbA1c <7% (P  < 0.001), waist circumference (P  < 0.001), low‐density lipoprotein cholesterol <2.6 mmol/L (P  = 0.007) and triglycerides <1.7 mmol/L (P  = 0.001) when compared with the younger elderly groups. They were also associated with achieving target HbA1c <7.0% (OR  = 1.90, 95% CI 1.68–2.26) and triglycerides <1.7 mmol/L (OR  = 1.20, 95%CI 1.04–1.46) than those aged 60–69 years. Conclusion: The control of cardiovascular disease risk factors was suboptimal in older adults with type 2 diabetes. The oldest elderly were more likely to achieve target HbA1c (<7.0%) and triglycerides (<1.7 mmol/L) than older adults aged 60–69 years. Japan Geriatrics Society 2014 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/36907/1/Control%20of%20glycemia%20and%20other%20cardiovascular%20disease%20risk%20factors%20in%20older%20adults%20with%20type%202%20diabetes%20mellitus%20data%20from%20the%20adult%20diabetes%20control%20and%20management.pdf Shariff Ghazali, Sazlina and Ismail, Mastura and Ahmad, Zaiton and Cheong, Ai Theng and Bujang, Mohamad Adam and Haniff, Jamaiyah and Lee, Ping Yein and Syed Abdul Rahman, Syed Alwi and Chew, Boon How and Taher, Sri Wahyu (2014) Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the adult diabetes control and management. Geriatrics & Gerontology International, 14 (1). pp. 130-137. ISSN 1444-1586; ESSN: 1447-0594 https://onlinelibrary.wiley.com/doi/abs/10.1111/ggi.12070 10.1111/ggi.12070
institution UPM IR
collection UPM IR
language English
description Aim: The aims of the present study were to assess the control of glycemia and other cardiovascular disease risk factors, and the association between age and these controls among older adults with type 2 diabetes in Malaysia. Methods: A cross‐sectional study was carried out using cases notified to the Adult Diabetes Control and Management database between 1 January and 31 December 2009. A total of 10 363 people aged over 60 years with type 2 diabetes mellitus were included in the analyses. A standard online case report form was used to record demographic data, clinical factors (diabetes duration, comorbid condition and treatment modalities), cardiovascular disease risk factors, diabetes complications and laboratory assessments. The cardiovascular disease risk factors controls assessed included glycosylated hemoglobin (HbA1c) <7.0%, blood pressure, body mass index, waist circumference and lipid profiles. Results: The proportion of older adults who achieved target HbA1c (<7.0%) was 41.7%. A greater proportion of older adults aged ≥80 years significantly achieved the targets of HbA1c <7% (P  < 0.001), waist circumference (P  < 0.001), low‐density lipoprotein cholesterol <2.6 mmol/L (P  = 0.007) and triglycerides <1.7 mmol/L (P  = 0.001) when compared with the younger elderly groups. They were also associated with achieving target HbA1c <7.0% (OR  = 1.90, 95% CI 1.68–2.26) and triglycerides <1.7 mmol/L (OR  = 1.20, 95%CI 1.04–1.46) than those aged 60–69 years. Conclusion: The control of cardiovascular disease risk factors was suboptimal in older adults with type 2 diabetes. The oldest elderly were more likely to achieve target HbA1c (<7.0%) and triglycerides (<1.7 mmol/L) than older adults aged 60–69 years.
format Article
author Shariff Ghazali, Sazlina
Ismail, Mastura
Ahmad, Zaiton
Cheong, Ai Theng
Bujang, Mohamad Adam
Haniff, Jamaiyah
Lee, Ping Yein
Syed Abdul Rahman, Syed Alwi
Chew, Boon How
Taher, Sri Wahyu
spellingShingle Shariff Ghazali, Sazlina
Ismail, Mastura
Ahmad, Zaiton
Cheong, Ai Theng
Bujang, Mohamad Adam
Haniff, Jamaiyah
Lee, Ping Yein
Syed Abdul Rahman, Syed Alwi
Chew, Boon How
Taher, Sri Wahyu
Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the adult diabetes control and management
author_facet Shariff Ghazali, Sazlina
Ismail, Mastura
Ahmad, Zaiton
Cheong, Ai Theng
Bujang, Mohamad Adam
Haniff, Jamaiyah
Lee, Ping Yein
Syed Abdul Rahman, Syed Alwi
Chew, Boon How
Taher, Sri Wahyu
author_sort Shariff Ghazali, Sazlina
title Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the adult diabetes control and management
title_short Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the adult diabetes control and management
title_full Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the adult diabetes control and management
title_fullStr Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the adult diabetes control and management
title_full_unstemmed Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the adult diabetes control and management
title_sort control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the adult diabetes control and management
publisher Japan Geriatrics Society
publishDate 2014
url http://psasir.upm.edu.my/id/eprint/36907/1/Control%20of%20glycemia%20and%20other%20cardiovascular%20disease%20risk%20factors%20in%20older%20adults%20with%20type%202%20diabetes%20mellitus%20data%20from%20the%20adult%20diabetes%20control%20and%20management.pdf
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