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The prevalence of Type 2 diabetes and its associated health problems in a community-dwelling elderly population

Hewitt, J., Smeeth, L., Bulpitt, C. J. and Fletcher, A. E. 2009. The prevalence of Type 2 diabetes and its associated health problems in a community-dwelling elderly population. Diabetic Medicine 26 (4) , pp. 370-376. 10.1111/j.1464-5491.2009.02687.x

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Abstract

Aims  Prevalence estimates of Type 2 diabetes and its associated health problems in elderly populations are rare, especially in the very elderly. Methods  A sample of 15 095 community‐dwelling older people aged ≥ 75 years were assessed. Type 2 diabetes and associated health problems were identified using self‐reporting, general practitioner records, drug histories, and blood and urine measurements. Results  There were 1177 people identified as having Type 2 diabetes mellitus, giving an overall prevalence of 7.8% (95% confidence interval 7.1, 8.5), 9.4% (8.4, 10.5) for men and 6.8% (6.1, 7.6) for women. The age, sex and smoking adjusted odds ratios for various health problems, comparing people with and without diabetes were: low vision 1.6 (1.3, 1.9), proteinuria 1.7 (1.4, 2.1), chronic kidney disease stage 4 or 5 1.5 (1.0, 2.1), angina 1.3 (1.1, 1.6), myocardial infarction 1.5 (1.2, 1.8), cerebrovascular event 2.0 (1.8, 2.1) and foot ulceration 1.7 (1.2, 2.4). Conclusions  The prevalence of Type 2 diabetes is not high in community‐dwelling older people, but diabetes was a contributory factor to a number of health problems.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Wiley
ISSN: 0742-3071
Date of Acceptance: 24 January 2009
Last Modified: 01 Nov 2019 14:00
URI: http://orca.cf.ac.uk/id/eprint/126257

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