Prevalence of tight glycemic control based on frailty status and associated factors in community-dwelling older adults.
Jonathan Jun Yi HengReshma Aziz MerchantPublished in: Postgraduate medical journal (2024)
Tight glycemic control was highly prevalent in frail and pre-frail older adults, especially in those with multi-morbidity and better cognition. Future prospective longitudinal studies are required to evaluate effectiveness of frailty screening in making treatment decisions and long-term outcomes. Key messages What is already known on this topic: There is growing recognition that glycemic targets should be adjusted based on health or frailty status. However, there is no consensus on how health status or frailty should be defined when determining glycemic control targets. What this study adds: Our study found that tight glycemic control was highly prevalent in frail and pre-frail older adults. Our findings highlight the importance of assessing for tight glycemic control based on frailty status and further work is needed to aid implementation of screening and intervention policies to avoid the attendant harms of tight glycemic control.
Keyphrases
- glycemic control
- community dwelling
- type diabetes
- blood brain barrier
- blood glucose
- weight loss
- insulin resistance
- randomized controlled trial
- public health
- healthcare
- physical activity
- primary care
- systematic review
- mental health
- risk factors
- metabolic syndrome
- multiple sclerosis
- cross sectional
- quality improvement
- skeletal muscle
- clinical practice
- risk assessment