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Minerva Endocrinology 2021 Oct 20

DOI: 10.23736/S2724-6507.21.03606-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Evaluation of Turkey diabetes self-management education in geriatrics with type 2 diabetes

Emre S. SAYGILI 1, 2 , Ersen KARAKILIÇ 2, Serap YASA 1, Emine ŞEN 1

1 Division of Endocrinology and Metabolism, Department of Internal Medicine, Canakkale Mehmet Akif Ersoy State Hospital, Çanakkale, Turkey; 2 Division of Endocrinology and Metabolism, Department of Internal Medicine, Canakkale Onsekiz Mart University Faculty of Medicine, Canakkale, Turkey


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BACKGROUND: This study was conducted to evaluate the diabetes education efficiency of individuals over 65 years old in Turkey, which has the highest prevalence of diabetes in Europe.
METHODS: We retrospectively evaluated 320 patients who attended Turkey diabetes self-management group education program (TDSMEP) between 2016 and 2020 in a secondary hospital. Participants who have been followed up for a maximum of 9 months are grouped as over 65 years old and under.
RESULTS: Of the 320 patients, 114 formed the geriatric group and 206 the non-geriatric group. After the training, the number of patients who had HbA1c ≤7% increased significantly in both the geriatric (28.1%-45.6%) and non-geriatric (19.9%-42.2%) (p = 0.001) groups. After the training, similar HbA1c goals were achieved in the geriatric and non-geriatric groups. The most significant HbA1c decrease was observed at the 3rd month of follow-up and remained stable until the 9th month. In logistic regression analysis, the factors affecting HbA1c failure (HbA1c >7%) after training in the geriatric group were long diabetes duration (OR = 1.07, 95% CI = 1.02-1.13, p = 0.01), high basal HbA1c levels (OR = 1.31, 95% CI = 1.03-1.67, p = 0.03), and low education level (OR = 3.88, 95% CI = 1.54-9.76, p = 0.001).
CONCLUSIONS: This is the first study to evaluate the effectiveness of TDSMEP for geriatric individuals whose HbA1c ≤7% increased from 28% to 45.6% during follow-up after the training. TDSMEP is recommended for all adult age groups, regardless of age range.


KEY WORDS: Older adults; Self-management; Diabetes education; Diabetes mellitus; Type 2; Aged

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