Journals / İstanbul Kuzey Klinikleri / 2020 / Cilt: 7 - Sayı: 2

Current situation analysis of diabetic home care patients

Pages
140–145
Publication Date
2022-10-18
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

When compared to HbA1c levels, there was no differencebetween the types of insulin used (p=0.167).CONCLUSION: As a result, it is important to plan regular visits and personalized treatment by keeping in mind the benefitsto risk ratios in home-care diabetic patients.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: Diabetes is one of the primary diagnoses for admission to home health care units.
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Key Findings & Data:The present studyaims to analyze the current status of diabetic home care patients with their biochemical data and medications.METHODS: This was a retrospective study, including 256 diabetic patients who were following up by the Home Health Unitof Istanbul Provincial Health Directorate Public Hospitals Services-2.
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Conclusion & Impact:When compared to HbA1c levels, there was no differencebetween the types of insulin used (p=0.167).CONCLUSION: As a result, it is important to plan regular visits and personalized treatment by keeping in mind the benefitsto risk ratios in home-care diabetic patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: Diabetes is one of the primary diagnoses for admission to home health care units. Although there are manystudies about elderly diabetic patients, there are not many studies on home care patients with diabetes. The present studyaims to analyze the current status of diabetic home care patients with their biochemical data and medications.METHODS: This was a retrospective study, including 256 diabetic patients who were following up by the Home Health Unitof Istanbul Provincial Health Directorate Public Hospitals Services-2. In this study, we analyzed the current biochemical dataof the patients with their medications.RESULTS: In this study, 185 female (72.3%) and 71 male (27.7%) patients were recruited with the mean HbA1c of8.25±1.77. Among these patients, 65% of them were using oral antidiabetic (OAD), and 58% were using insulin. There were21 (8.2%) patients who were not receiving any treatment. While patients who were using only oral antidiabetic have betterA1c levels (A1c: 7.73±1.45), patients who were insülin using had HbA1c levels as high as the patients who were not usingany medication. This may be due to the progression of diabetes, fear of hypoglycemia or insufficient insülin use. While metformin was the most commonly used OAD, with a 38% usage rate. When compared to HbA1c levels, there was no differencebetween the types of insulin used (p=0.167).CONCLUSION: As a result, it is important to plan regular visits and personalized treatment by keeping in mind the benefitsto risk ratios in home-care diabetic patients.

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Cite This Article

SERTBAŞ, M., GÜDÜK, Ö., SERTBAŞ, Y., GÜDÜK, Ö., YAZICI, Z., DAĞCI, S. (2022). Current situation analysis of diabetic home care patients. İstanbul Kuzey Klinikleri, Cilt: 7 - Sayı: 2, 140–145. https://ajindex.com/articles/551346

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References (13)

  1. Ünal B, Ergör G, Horasan GD, Kalaça S, Sözmen K. Türkiye kronik hastalıklar ve risk faktörleri sıklığı çalışması. Sağlık Bakanlığı Yayın No: 909. Available at: https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/khrfat.pdf. Accessed Mar 17, 2020. 2. Raghupathi W, Raghupathi V. An Empirical Study of Chronic Diseases in the United States: A Visual Analytics Approach. Int J Environ Res Public Health 2018
  2. Jaul E, Barron J. Age-Related Diseases and Clinical and Public Health Implications for the 85Years Old and Over Population. Front Public Health 2017
  3. Umpierrez GE, Pasquel FJ. Management of Inpatient Hyperglycemia and Diabetes in Older Adults. Diabetes Care 2017
  4. 509–17. 5. American Diabetes Association. 11. Older Adults: Standards of Medical Care in Diabetes-2018. Diabetes Care 2018
  5. S119–25. 6. Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, et al. Diabetes in older adults. Diabetes Care 2012
  6. 2650–64. 7. Satman İ, İmamoğlu Ş, Yılmaz CS, Ayvaz G, Çömlekçi A. Türkiye’de ve Dünya’da diyabet, Türkiye Endokrinoloji ve Metabolizma Derneği Diabetes Mellitus Çalışma ve Eğitim Grubu Raporu. Turkish Journal of Endocrinology and Metabolism 2012
  7. Directive on the Procedures and Principles of Home Health Care Services Provided by the Ministry of Health 2010. Available at: https:// www.saglik.gov.tr/TR,11271/saglik-bakanliginca-sunulan-evde-saglik-hizmetlerinin-uygulama-usul-ve-esaslari-hakkinda-yonerge.html. Accessed Mar 17, 2020. 9. O’Reilly CA. Managing the care of patients with Diabetes in the Home Care Setting. Diabetes Spectrum 2005
  8. 162–6. 10. Subasi N, Oztek Z. Türkiyede karşılanamayan bir gereksinim: Evde bakım hizmeti. TSK Koruyucu Hekimlik Bülteni 2006
  9. 19–31. 11. İsik O, Kandemir A, Erisen MA, Fidan C. Evde sağlık hizmeti alan hastaların profili ve sunulan hizmetin değerlendirilmesi. Hacettepe Sağlık İdaresi Dergisi 2016
  10. 171–86. 12. American Diabetes Association. 6. Glycemic Targets: Standards of Medical Care in Diabetes-2019. Diabetes Care 2019
  11. S61–70. 13. American Diabetes Association. 12. Older Adults: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019
  12. S139–47. 14. Huang ES, Liu JY, Moffet HH, John PM, Karter AJ. Glycemic control, complications, and death in older diabetic patients: the diabetes and aging study. Diabetes Care 2011
  13. 1329–36. 15. Hamada S, Gulliford MC. Mortality in Individuals Aged 80 and Older with Type 2 Diabetes Mellitus in Relation to Glycosylated Hemoglobin, Blood Pr