Abstract

Goals: To compare demographic, anthropometric and clinical characteristics in diabetic > and <65 years and to determine the impact of age on the control target.

Methods:  Observational,  prospective  and  comparative  study.  Diabetic  patients  attended  as  outpatients  were  analyzed  in  Lagomaggiore  Hospital,  recorded  in  our  database  until  August 2017. Patients with diabetes >65 years were compared with the rest of the diabetic population. Variables studied were: demographic, anthropometric, type of diabetes mellitus (DM),  micro  and  macrovascular  complications  (MAP),  compliance  glycemic  control targets (GCT), lipid (LipCT), blood pressure (BPCT), microalbuminuria and/or proteinuria (MPCT), current smoking (TABA). Analysis: MedCalc.

Results: 364 diabetic patients were included, 60 (16.5%) had >65 years. Comparative analysis: Male 25 (41.7%) vs 85 (28.0%) p 0.04. >10 years of evolution: 41 (68.3%) vs 108 (35.6%) p<0.001. DM type2: 58 (96.7%) vs 255 (83.9%) p 0.01. Arterial hypertension (AH): 51 (85%) vs 193 (63.5%) p 0001. Acute myocardial infarction 15 (25%) vs 17 (5.6%) p<0.001. Heart failure: 16 (26.7%) vs 34 (11.2%) p 0.001. MAP: 20 (33.2%) vs 39 (12.8%) p<0.001. Retinopathy: 35 (64.8%) vs. 144 (52%) p 0.08. Neuropathy: 15 (25%) vs 45 (14.8%) p 0.05. Chronic kidney disease state 3 and 4: 16 (27.6%) vs 35 (11.8%) p 002. BPCT: 49 (81.7%) vs 252 (82.9%) p 0.8. GCT: 33 (55.9%) vs 137 (46.6%) p 0.2. LipCT: 29 (50.9%) vs. 144 (49%) p 0.8. MPCT: 40 (71.4%) vs 176 (63.3%) 0.2 p. TABA: 5 (8.3%) vs 66 (21.7%) 0.01 p.

Conclusions: Our diabetics patients >65 years had more comorbidities, cardiovascular risk factors and macrovascular complications. Despite this, there was no difference in achieving control target or medication use.

Keywords

diabetes mellitus, elderly, comorbid, medication, glycemic control targets, blood pressure, diabetic patients, heart failure