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A diabetes na quarta idade: a nossa realidade

2006Journal article Open access
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dc.contributor.authorPaiva, I
dc.contributor.authorBaptista, C
dc.contributor.authorRibeiro, C
dc.contributor.authorLeitão, P
dc.contributor.authorCarvalheiro, M
dc.date.accessioned2008-11-28T11:27:49Z
dc.date.available2008-11-28T11:27:49Z
dc.date.issued2006
dc.description.abstractAIM: To evaluate the impact of the aging of our population in the growing of diabetes prevalence, among patients treated inward at our department. MATERIAL AND METHODS: The clinical files of 242 diabetics older than eighty years, treated between 1999 and 2002 were studied retrospectively. Demographic (sex, age, year of first contact), clinical (causes of admission, co-morbidities, duration of diabetes, previous hypoglycaemic treatment, duration of hospitalisation and evolution) and biochemical (glycaemia, HbA1c, lipaemia and C-peptide) data were recorded. RESULTS: A progressive rising in the number of aged patients was found during this period (seven in 1999 to 55 in 2002), with a large proportion of women (73%). The more frequent causes of in-hospital treatment were hyperglycaemia (20.6%) and feet ulcers (septic or necrotic) (16.5%). In nearly 42% of the cohort an acute infection was found. Diabetes was unknown in 13% of cases and less than ten years of duration in 38%. In this cohort most of the patients (77%) were treated with oral hypoglycaemic drugs, mostly sulfonylureas. HbA1c mean value was 10.4 +/- 2.2%; C -peptide was measured in a subset of cases (n=79), suggesting deficient insulin secretion in 18% of them. The global mean duration of hospitalisation was eleven days. Nineteen patients (8%) died during the hospitalization. CONCLUSIONS: In this study, we concluded that diabetes in people older than 75 years, is being progressively more often diagnosed. The general metabolic control was bad (HbA1c mean value--10.4 +/- 2.2%), with a significant number of patients presenting a deficient C-peptide secretion, worsened by frequent coexisting infections. So, a strengthened clinical care, directed to a careful diagnosis and treatment, may effectively contribute to a better prognosis and quality of life of aged diabetic patients.en
dc.identifier.citationActa Med Port. 2006 Jan-Feb;19(1):79-84en
dc.identifier.urihttp://hdl.handle.net/10400.4/216
dc.language.isoporen
dc.publisherCentro Editor Livreiro da Ordem dos Médicosen
dc.subjectDiabetes Mellitusen
dc.subjectIdosoen
dc.titleA diabetes na quarta idade: a nossa realidadeen
dc.title.alternativeDiabetes in the elderly: our realityen
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccess
rcaap.typearticleen

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