Pharmacologic treatment of diabetes in long-term care

Giovanni Gambassi, Jj Spooner, Kl Lapane, Al Hume, V Mor

Research output: Contribution to journalArticle


The majority of patients with diabetes are elderly, but little is known about their disease management. This study evaluates the prevalence and correlates of treatment of elderly diabetics residing in long-term care. We performed a retrospective, cross-sectional study of 75,829 elderly diabetics residing in nursing homes from 1992 to 1996. Nearly half (47%) of the residents received no antidiabetic medications. Independent predictors not receiving antidiabetic medications included age, race, impaired physical ability, and impaired cognitive function. Although the absence of resident's blood glucose or glycosylated hemoglobin (HbA1c) values prevents us from passing judgment about the adequacy of diabetic care, further research is needed to understand why some residents do not receive antidiabetic medications in the long-term care setting.
Original languageEnglish
Pages (from-to)525-530
Number of pages6
JournalJournal of Clinical Epidemiology
Publication statusPublished - 2001


  • Aged
  • Aged, 80 and over
  • Cardiovascular Diseases
  • Comorbidity
  • Cross-Sectional Studies
  • Diabetes Mellitus
  • Female
  • Humans
  • Hypoglycemic Agents
  • Long-Term Care
  • Male
  • Prevalence
  • Retrospective Studies
  • United States


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