Accession Number : ADA542533


Title :   Identifying and Overcoming Barriers to Diabetes Management in the Elderly: An Intervention Study


Descriptive Note : Annual rept. 1 Jun 2009-31 May 2010


Corporate Author : JOSLIN DIABETES CENTER BOSTON MA


Personal Author(s) : Munshi, Medha


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a542533.pdf


Report Date : Jun 2010


Pagination or Media Count : 22


Abstract : During this research period, we have nearly completed recruitment of patients over age 70 with diabetes and poor glycemic control as defined by A1c8%, and have started analysis of the data. We have now recruited 50 subjects for the study and have additional data on 16 patients who are in the control arm of the parallel study for better sample size and analysis. We are also performing interim analysis of the results of the cerebral blood flow study. Our baseline data was presented at the annual scientific meeting of the American Diabetes Association last year. This year we have interim data to show effect of interventions. We also have novel data gained by continuous glucose monitoring that will be oral paper presentation at the annual meeting of the American Diabetes Association. The important results show 1) Frequent hypoglycemic episodes were detected by continuous glucose monitoring in older adults even with poor glycemic control. 2) Self-management interventions to overcome barriers to diabetes improved self-care frequency and functionality in older adults 3) different methods of measuring executive dysfunction identifies different deficiencies in older patients with diabetes. Based on our continuous monitoring data, we have received a pilot funding to assess cardiac autonomic dysfunction in older adults with diabetes during continuous glucose monitoring.


Descriptors :   *DIABETES , *GLUCOSE , *AGING(PHYSIOLOGY) , INTERVENTION , ADULTS , HEART , CEREBRUM , MEASUREMENT , ORAL INTAKE , DYSFUNCTION , BLOOD CIRCULATION , MONITORING , AUTONOMIC NERVOUS SYSTEM


Subject Categories : Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE