The Resource Management of diabetes in the long-term care population : a review of guidelines, Canadian Agency for Drugs and Technologies in Health

Management of diabetes in the long-term care population : a review of guidelines, Canadian Agency for Drugs and Technologies in Health

Label
Management of diabetes in the long-term care population : a review of guidelines
Title
Management of diabetes in the long-term care population
Title remainder
a review of guidelines
Statement of responsibility
Canadian Agency for Drugs and Technologies in Health
Contributor
Author
Distributor
Subject
Genre
Language
eng
Summary
The economic, social and health burden of diabetes is significant, especially in the elderly population. This is a common disease that affects more than 20% of adults aged 65 to 75 years and 40% of adults older than 80 years. The prevalence of diabetes in long-term care (LTC) facilities is similar to that in the general population, but may be underestimated. Previous studies indicated that in a Canadian long-term care facility, a screening program reclassified a third of residents as having diabetes during a three-year period. Management of diabetes in LTC facilities is challenging due to the under-resourced environment and the nature of this specific population (e.g. age, higher rates of premature death, functional disability, and more co-morbidities than non-diabetics). Besides lifestyle modification and pharmacological therapy, blood glucose monitoring (levels of blood glucose or HbA1c) is also essential to ensure satisfactory glycemic control. Due to the metabolic differences of diabetes in the elderly compared with younger patients, the approaches of disease management should be different. The burden of rigourous near normal glycemic control (e.g. cost of patient discomfort) may outweigh the benefits (such as preventing long-term complications) in this population. Previous clinical practice guidelines have suggested that the glycemic target should be individualized based on the patient's functional status: patients with good functional status should be maintained at HbA1c lower than 7%, whereas those who are frail (have multiple co-morbidities, increased risk of hypoglycemia or have a life expectancy of fewer than 5 years) should be maintained at a less stringent target of lower than 8%. CADTH published a report in 2010 for the purpose of summarizing guideline recommendations regarding the management of diabetes in a long-term care population, but limited evidence was found. The purpose of this review is to identify any evidence and recommendations noted in the evidence-based guidelines for blood glucose mon
Member of
Cataloging source
CaBNVSL
Dewey number
616.4/62
Illustrations
illustrations
Index
no index present
LC call number
RC660
LC item number
.M254 2013eb
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
NLM call number
WK 810
NLM item number
M254 2013eb
http://library.link/vocab/relatedWorkOrContributorName
  • Canadian Agency for Drugs and Technology in Health
  • Canadian Electronic Library (Firm)
Series statement
Rapid response report, summary with critical appraisal
http://library.link/vocab/subjectName
  • Diabetes
  • Blood sugar monitoring
  • Blood sugar
  • Long-term care of the sick
  • Nursing home care
  • Diabetes Mellitus
  • Blood Glucose
  • Long-Term Care
Label
Management of diabetes in the long-term care population : a review of guidelines, Canadian Agency for Drugs and Technologies in Health
Link
http://www.deslibris.ca/ID/241005
Instantiates
Publication
Distribution
Note
  • "November 26 2013"
  • Issued as part of the desLibris documents collection
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 6-7)
Carrier category
online resource
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type MARC source
rdacontent
Dimensions
unknown
Extent
1 electronic text (9 pages)
Form of item
online
Media category
electronic
Media MARC source
isbdmedia
Other physical details
tables.
Publisher number
241005
Specific material designation
remote
System control number
  • (CaBNVSL)gtp00558422
  • (OCoLC)872591251
  • (CaOOCEL)241005
System details
Mode of access: World Wide Web
Label
Management of diabetes in the long-term care population : a review of guidelines, Canadian Agency for Drugs and Technologies in Health
Link
http://www.deslibris.ca/ID/241005
Publication
Distribution
Note
  • "November 26 2013"
  • Issued as part of the desLibris documents collection
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 6-7)
Carrier category
online resource
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type MARC source
rdacontent
Dimensions
unknown
Extent
1 electronic text (9 pages)
Form of item
online
Media category
electronic
Media MARC source
isbdmedia
Other physical details
tables.
Publisher number
241005
Specific material designation
remote
System control number
  • (CaBNVSL)gtp00558422
  • (OCoLC)872591251
  • (CaOOCEL)241005
System details
Mode of access: World Wide Web

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