Sökning: id:"swepub:oai:DiVA.org:liu-16312" >
Can diabetes medica...
Can diabetes medication be reduced in elderly patients? : An observational study of diabetes drug withdrawal in nursing home patients with tight glycaemic control
-
- Sjöblom, Peter (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Institutionen för medicin och hälsa,Hälsouniversitetet,Primärvården i östra länsdelen
-
- Tengblad, Anders (författare)
- Linköpings universitet,Allmänmedicin,Hälsouniversitetet
-
- Löfgren, Ulla-Britt (författare)
- Östergötlands Läns Landsting,Endokrin- och magtarmmedicinska kliniken US,Landstinget i Östergötland
-
visa fler...
-
- Lannering, Christina (författare)
- The Research and Development Department of Local Health Care, County Council of Jönköping, Jönköping, Sweden
-
- Anderberg, Niklas (författare)
- Vråen Primary Health Care Centre, Värnamo, Sweden
-
- Rosenqvist, Ulf (författare)
- Department of Internal Medicine, Motala Hospital, Motala, Sweden
-
- Mölstad, Sigvard (författare)
- The Research and Development Department of Local Health Care, County Council of Jönköping, Jönköping, Sweden
-
- Östgren, Carl Johan (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Allmänmedicin,Hälsouniversitetet,Primärvården i västra länsdelen
-
visa färre...
-
(creator_code:org_t)
- Elsevier BV, 2008
- 2008
- Engelska.
-
Ingår i: Diabetes Research and Clinical Practice. - : Elsevier BV. - 0168-8227 .- 1872-8227. ; 82:2, s. 197-202
- Relaterad länk:
-
http://urn.kb.se/res...
-
visa fler...
-
https://liu.diva-por... (primary) (Raw object)
-
http://liu.diva-port...
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
visa färre...
Abstract
Ämnesord
Stäng
- Aim: To explore the feasibility of withdrawal of diabetes medication in elderly patients with HbA1c £ 6.0%.Methods: HbA1c was measured in 98 patients with known diabetes in 17 nursing homes in Sweden. 32 subjects with HbA1c £ 6.0% participated in the drug withdrawal study. After measuring plasma glucose on three consecutive days, diabetes drugs were reduced, i.e. complete withdrawal of oral anti-diabetic drugs (OADs), complete insulin withdrawal when doses were £ 20 units/day and reduced by half in patients on more than 20 units/day.Results: We identified 31 episodes of plasma glucose £ 4.4 mmol/l, most of them nocturnal (n=17). Mean HbA1c was 5.2 % ± 0.4 compared to 7.1 % ± 1.6 in the non-intervention group. Three months after the diabetes drug discontinuation, 24 patients (75%) remained in the intervention group and mean HbA1c was then 5.8 %. ± 0.9. Six months after baseline investigation mean HbA1c in the intervention group was 5.8 % ± 1.1 compared with 6.6 % ± 1.4 in the non-intervention group.Conclusions: Hypoglycaemic events are common among elderly patients with type 2 diabetes. The withdrawal of diabetes medication in elderly with tight glycaemic control is safe and may decrease the risk for hypoglycaemia.
Nyckelord
- Diabetes
- Drug therapy
- Hypoglycaemia
- MEDICINE
- MEDICIN
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas