Burden of Sliding Scale Insulin Use in Elderly Long‐Term Care Residents with Type 2 Diabetes Mellitus

• DOI: 10.1111/jgs.12547
• Publication Date: 2013-11-25T22:10:57Z
• Authors: Naushira Pandya; Wenhui Wei; Juliana L. Meyers; Brett S. Kilpatrick; Keith L. Davis
• Keywords: Aged, 80 and over; Male; Age Factors; 610; 16. Peace & justice; Long-Term Care; United States; 3. Good health; 03 medical and health sciences; Osteopathic Medicine and Osteopathy; Cross-Sectional Studies; 0302 clinical medicine; Diabetes Mellitus, Type 2; 616; Medical Specialties; Medicine and Health Sciences; Humans; Hypoglycemic Agents; Insulin; Female; Aged; Retrospective Studies

Objectives To examine prevalence, practice patterns, and associated burden of sliding scale insulin ( SSI ) therapy in elderly adults with type 2 diabetes (T2 DM ). Design A retrospective cross‐sectional study assessing merged medical chart data the M inimum D ata S et. Setting One hundred seventeen long‐term care LTC facilities seven U.S. states. Participants Elderly insulin‐treated T2 (N = 2,096) admitted to a facility after January 1, 2009, who had been for at least 3 months before abstraction received treatment non‐ or regimens. The latter were categorized into ‐only, basal– , prandial– basal–prandial– multiple regimens . Data collected from September 2010 through 2011. Measurements Demographic clinical characteristics recorded. Fingerstick was assessed as average number fingersticks per week without subsequent administration. Other measures included glycosylated hemoglobin H bA1c) hypoglycemia events. Results Overall, 73.8% participants therapy. ‐treated more likely be younger P .01), non‐white .002), receiving sulfonylurea .004) than treated participants. mean ± standard deviation 19.9 7.9 week, which 12.5 7.6 not followed by Fewer one HbA1c measurements 7.0% less (48.8% vs 57.2%) 8.5% (85.2% 87.6%, respectively). Rates similar both groups (15.0% 14.9%). Conclusion is widely used high fingerstick burden. are poorer glycemic control but rate that