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Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit

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Zeitschriftentitel: Diabetes
Personen und Körperschaften: NANAYAKKARA, NATALIE, PEASE, ANTHONY J., RANASINHA, SANJEEVA, WISCHER, NATALIE, DE COURTEN, BARBORA, ZOUNGAS, SOPHIA
In: Diabetes, 67, 2018, Supplement_1
Format: E-Article
Sprache: Englisch
veröffentlicht:
American Diabetes Association
Schlagwörter:
Endocrinology, Diabetes and Metabolism
Internal Medicine
author_facet NANAYAKKARA, NATALIE
PEASE, ANTHONY J.
RANASINHA, SANJEEVA
WISCHER, NATALIE
DE COURTEN, BARBORA
ZOUNGAS, SOPHIA
NANAYAKKARA, NATALIE
PEASE, ANTHONY J.
RANASINHA, SANJEEVA
WISCHER, NATALIE
DE COURTEN, BARBORA
ZOUNGAS, SOPHIA
author NANAYAKKARA, NATALIE
PEASE, ANTHONY J.
RANASINHA, SANJEEVA
WISCHER, NATALIE
DE COURTEN, BARBORA
ZOUNGAS, SOPHIA
spellingShingle NANAYAKKARA, NATALIE
PEASE, ANTHONY J.
RANASINHA, SANJEEVA
WISCHER, NATALIE
DE COURTEN, BARBORA
ZOUNGAS, SOPHIA
Diabetes
Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
Endocrinology, Diabetes and Metabolism
Internal Medicine
author_sort nanayakkara, natalie
spelling NANAYAKKARA, NATALIE PEASE, ANTHONY J. RANASINHA, SANJEEVA WISCHER, NATALIE DE COURTEN, BARBORA ZOUNGAS, SOPHIA 0012-1797 1939-327X American Diabetes Association Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.2337/db18-707-p <jats:p>Introduction: Type 2 diabetes is increasingly diagnosed among younger people. Patient engagement with self-care practices is crucial for the optimal management of type 2 diabetes. This study examines the self-care practices of younger and older patients with type 2 diabetes.</jats:p> <jats:p>Methods: Data were analysed from the Australian National Diabetes Audit (ANDA) that included 2552 adult patients with type 2 diabetes from 56 participating Diabetes Centres. Pre-specified demographic and clinical variables were obtained. Self-care variables (physical activity, following dietary recommendations, medication adherence and monitoring blood glucose levels) were compared in patients ≤64 years and &amp;gt;64 years of age.</jats:p> <jats:p>Results: Mean age (±SD) of participants was 63±13 years overall, 53±9 years for the younger group and 73±6 years for the older group. Mean diabetes duration was 9±8 years and 15±10 years for younger and older patients, respectively (p&amp;lt;0.01). A greater proportion of younger patients had HbA1c levels above 7.0% compared with older patients (76% vs. 68%, p&amp;lt;0.001). A greater proportion of younger compared to older patients reported difficulty following dietary recommendations (50% vs. 32%) and forgetting medications (37% vs. 22%) (all p values &amp;lt;0.001). A smaller proportion of younger compared with older patients reported monitoring their blood glucose levels as often as recommended (60%vs. 70%, p&amp;lt;0.001). Younger age was associated with a 2-fold increase in the odds of not following the recommended self-care practices after adjustment for gender, smoking, insulin therapy, depression and allied health attendance (all p values &amp;lt;0.001).</jats:p> <jats:p>Conclusion: Despite shorter diabetes duration, younger age was associated with worse glycaemic control and poorer diabetes self-care practices among patients with type 2 diabetes. Targeted strategies are urgently required to optimise diabetes self-care practices and thereby improve glycaemic control.</jats:p> <jats:sec> <jats:title>Disclosure</jats:title> <jats:p>N. Nanayakkara: None. A.J. Pease: None. S. Ranasinha: None. N. Wischer: None. B. de Courten: None. S. Zoungas: Advisory Panel; Self; AstraZeneca.</jats:p> </jats:sec> Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit Diabetes
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title Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_unstemmed Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_full Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_fullStr Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_full_unstemmed Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_short Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_sort younger patients with type 2 diabetes have poorer self-care practices compared with older patients—results from the australian national diabetes audit
topic Endocrinology, Diabetes and Metabolism
Internal Medicine
url http://dx.doi.org/10.2337/db18-707-p
publishDate 2018
physical
description <jats:p>Introduction: Type 2 diabetes is increasingly diagnosed among younger people. Patient engagement with self-care practices is crucial for the optimal management of type 2 diabetes. This study examines the self-care practices of younger and older patients with type 2 diabetes.</jats:p> <jats:p>Methods: Data were analysed from the Australian National Diabetes Audit (ANDA) that included 2552 adult patients with type 2 diabetes from 56 participating Diabetes Centres. Pre-specified demographic and clinical variables were obtained. Self-care variables (physical activity, following dietary recommendations, medication adherence and monitoring blood glucose levels) were compared in patients ≤64 years and &amp;gt;64 years of age.</jats:p> <jats:p>Results: Mean age (±SD) of participants was 63±13 years overall, 53±9 years for the younger group and 73±6 years for the older group. Mean diabetes duration was 9±8 years and 15±10 years for younger and older patients, respectively (p&amp;lt;0.01). A greater proportion of younger patients had HbA1c levels above 7.0% compared with older patients (76% vs. 68%, p&amp;lt;0.001). A greater proportion of younger compared to older patients reported difficulty following dietary recommendations (50% vs. 32%) and forgetting medications (37% vs. 22%) (all p values &amp;lt;0.001). A smaller proportion of younger compared with older patients reported monitoring their blood glucose levels as often as recommended (60%vs. 70%, p&amp;lt;0.001). Younger age was associated with a 2-fold increase in the odds of not following the recommended self-care practices after adjustment for gender, smoking, insulin therapy, depression and allied health attendance (all p values &amp;lt;0.001).</jats:p> <jats:p>Conclusion: Despite shorter diabetes duration, younger age was associated with worse glycaemic control and poorer diabetes self-care practices among patients with type 2 diabetes. Targeted strategies are urgently required to optimise diabetes self-care practices and thereby improve glycaemic control.</jats:p> <jats:sec> <jats:title>Disclosure</jats:title> <jats:p>N. Nanayakkara: None. A.J. Pease: None. S. Ranasinha: None. N. Wischer: None. B. de Courten: None. S. Zoungas: Advisory Panel; Self; AstraZeneca.</jats:p> </jats:sec>
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author NANAYAKKARA, NATALIE, PEASE, ANTHONY J., RANASINHA, SANJEEVA, WISCHER, NATALIE, DE COURTEN, BARBORA, ZOUNGAS, SOPHIA
author_facet NANAYAKKARA, NATALIE, PEASE, ANTHONY J., RANASINHA, SANJEEVA, WISCHER, NATALIE, DE COURTEN, BARBORA, ZOUNGAS, SOPHIA, NANAYAKKARA, NATALIE, PEASE, ANTHONY J., RANASINHA, SANJEEVA, WISCHER, NATALIE, DE COURTEN, BARBORA, ZOUNGAS, SOPHIA
author_sort nanayakkara, natalie
container_issue Supplement_1
container_start_page 0
container_title Diabetes
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description <jats:p>Introduction: Type 2 diabetes is increasingly diagnosed among younger people. Patient engagement with self-care practices is crucial for the optimal management of type 2 diabetes. This study examines the self-care practices of younger and older patients with type 2 diabetes.</jats:p> <jats:p>Methods: Data were analysed from the Australian National Diabetes Audit (ANDA) that included 2552 adult patients with type 2 diabetes from 56 participating Diabetes Centres. Pre-specified demographic and clinical variables were obtained. Self-care variables (physical activity, following dietary recommendations, medication adherence and monitoring blood glucose levels) were compared in patients ≤64 years and &amp;gt;64 years of age.</jats:p> <jats:p>Results: Mean age (±SD) of participants was 63±13 years overall, 53±9 years for the younger group and 73±6 years for the older group. Mean diabetes duration was 9±8 years and 15±10 years for younger and older patients, respectively (p&amp;lt;0.01). A greater proportion of younger patients had HbA1c levels above 7.0% compared with older patients (76% vs. 68%, p&amp;lt;0.001). A greater proportion of younger compared to older patients reported difficulty following dietary recommendations (50% vs. 32%) and forgetting medications (37% vs. 22%) (all p values &amp;lt;0.001). A smaller proportion of younger compared with older patients reported monitoring their blood glucose levels as often as recommended (60%vs. 70%, p&amp;lt;0.001). Younger age was associated with a 2-fold increase in the odds of not following the recommended self-care practices after adjustment for gender, smoking, insulin therapy, depression and allied health attendance (all p values &amp;lt;0.001).</jats:p> <jats:p>Conclusion: Despite shorter diabetes duration, younger age was associated with worse glycaemic control and poorer diabetes self-care practices among patients with type 2 diabetes. Targeted strategies are urgently required to optimise diabetes self-care practices and thereby improve glycaemic control.</jats:p> <jats:sec> <jats:title>Disclosure</jats:title> <jats:p>N. Nanayakkara: None. A.J. Pease: None. S. Ranasinha: None. N. Wischer: None. B. de Courten: None. S. Zoungas: Advisory Panel; Self; AstraZeneca.</jats:p> </jats:sec>
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spelling NANAYAKKARA, NATALIE PEASE, ANTHONY J. RANASINHA, SANJEEVA WISCHER, NATALIE DE COURTEN, BARBORA ZOUNGAS, SOPHIA 0012-1797 1939-327X American Diabetes Association Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.2337/db18-707-p <jats:p>Introduction: Type 2 diabetes is increasingly diagnosed among younger people. Patient engagement with self-care practices is crucial for the optimal management of type 2 diabetes. This study examines the self-care practices of younger and older patients with type 2 diabetes.</jats:p> <jats:p>Methods: Data were analysed from the Australian National Diabetes Audit (ANDA) that included 2552 adult patients with type 2 diabetes from 56 participating Diabetes Centres. Pre-specified demographic and clinical variables were obtained. Self-care variables (physical activity, following dietary recommendations, medication adherence and monitoring blood glucose levels) were compared in patients ≤64 years and &amp;gt;64 years of age.</jats:p> <jats:p>Results: Mean age (±SD) of participants was 63±13 years overall, 53±9 years for the younger group and 73±6 years for the older group. Mean diabetes duration was 9±8 years and 15±10 years for younger and older patients, respectively (p&amp;lt;0.01). A greater proportion of younger patients had HbA1c levels above 7.0% compared with older patients (76% vs. 68%, p&amp;lt;0.001). A greater proportion of younger compared to older patients reported difficulty following dietary recommendations (50% vs. 32%) and forgetting medications (37% vs. 22%) (all p values &amp;lt;0.001). A smaller proportion of younger compared with older patients reported monitoring their blood glucose levels as often as recommended (60%vs. 70%, p&amp;lt;0.001). Younger age was associated with a 2-fold increase in the odds of not following the recommended self-care practices after adjustment for gender, smoking, insulin therapy, depression and allied health attendance (all p values &amp;lt;0.001).</jats:p> <jats:p>Conclusion: Despite shorter diabetes duration, younger age was associated with worse glycaemic control and poorer diabetes self-care practices among patients with type 2 diabetes. Targeted strategies are urgently required to optimise diabetes self-care practices and thereby improve glycaemic control.</jats:p> <jats:sec> <jats:title>Disclosure</jats:title> <jats:p>N. Nanayakkara: None. A.J. Pease: None. S. Ranasinha: None. N. Wischer: None. B. de Courten: None. S. Zoungas: Advisory Panel; Self; AstraZeneca.</jats:p> </jats:sec> Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit Diabetes
spellingShingle NANAYAKKARA, NATALIE, PEASE, ANTHONY J., RANASINHA, SANJEEVA, WISCHER, NATALIE, DE COURTEN, BARBORA, ZOUNGAS, SOPHIA, Diabetes, Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit, Endocrinology, Diabetes and Metabolism, Internal Medicine
title Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_full Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_fullStr Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_full_unstemmed Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_short Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
title_sort younger patients with type 2 diabetes have poorer self-care practices compared with older patients—results from the australian national diabetes audit
title_unstemmed Younger Patients with Type 2 Diabetes Have Poorer Self-Care Practices Compared with Older Patients—Results from the Australian National Diabetes Audit
topic Endocrinology, Diabetes and Metabolism, Internal Medicine
url http://dx.doi.org/10.2337/db18-707-p