| 혈당강하제로 치료받는 제2형 노인 당뇨병 환자의 대사조절지표에 대한 목표달성률 |
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심강희, 황문숙, 박정은, 정진희, 이정화, 송복례 |
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| Goal Attainment Rate for Parameters of Metabolic Adjustment in Elderly Patients with Type 2 Diabetes Taking a Hypoglycemic Agent. |
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Kang Hee Shim, Moon Sook Hwang, Jeong Eun Park, Jin Hee Jung, Jung Hwa Lee, Bok Rye Song |
1Department of Diabetes Education, Samsung Medical Center, Seoul, Korea.
2Department of Nursing Science, Woosuk University, Wanju, Korea. msyellow45@hanmail.net
3Nursing Department, Cheil General Hospital & Women's Healthcare Center, Seoul, Korea.
4Department of Diabetes Education, Seoul National University Bundang Hospital, Seongnam, Korea.
5Department of Diabetes Education, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
6Department of Diabetes Education, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.
7Korea Association of Diabetes Nurse Educators, Korea. |
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| Abstract |
BACKGROUND
This study aimed to investigate the goal attainment rates for hemoglobin A1c (HbA1c), blood pressure (BP), and low-density lipoprotein cholesterol (LDL-C) in elderly patients with type 2 diabetes. METHODS: The subjects were 762 over 65 years old patients with type 2 diabetes taking a hypoglycemic agent. Data were collected by reviewing medical records and included general characteristics, biochemical tests, prescribed pharmacologic agents, and complications. RESULTS: The goal attainment rates (mean value) for HbA1c, BP, and LDL-C were 50.4% (7.3% ± 1.2%), 78.9% (126.0 ± 15.1/72.1 ± 10.0 mm Hg), and 60.6% (88.6 ± 29.9 mg/dL). Diabetes-related complications for retinopathy, nephropathy, neuropathy, and cardio-cerebral vascular disease were 36.3%, 37.2%, 23.6%, and 31.9%, respectively. Life habit-related variables positively associated with goal attainment were not drinking alcohol and exercise for HbA1c, not smoking for BP and not drinking alcohol for LDL-C. Metabolic adjustment indicator-related significant variables for complications were HbA1c in retinopathy, BP in nephropathy, and LDL-C in cardio-cerebral disease. CONCLUSION: We found that goal attainment rates for parameters of metabolic adjustment were not high in elderly patients with type 2 diabetes. Thus, diabetes educators should be concerned about metabolic adjustment indicators. Also, case management guidelines according to elderly patient health and functional status should be developed to help manage metabolic adjustment. |
| Key Words:
Aged, Blood pressure, Diabetes mellitus, Glycosylated hemoglobin A, LDL cholesterol |
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