Monday, May 28, 2007

Diabetics In Nursing Homes Need Improved Care

Published today in the American Diabetes Association journal Diabetes Care, Ohio University College of Osteopathic Medicine researchers say that the care of elderly patients with type 1 insulin dependent and type 2 diabetes in extended care facilities fails to meet ADA Standards of Care.

Entitled "Diabetes Care in Extended Care Facilities: Appropriate Intensity of Care?", a study authored Jay Shubrook, D.O., assistant professor of family medicine at OU-COM; Frank Schwartz, M.D., assistant professor of endocrinology at OU-COM; and second-year medical student Rachel Holt, examined the quality of care that diabetic patients receive in nursing homes through a retrospective chart review of 108 residents at 11 extended health-care facilities in Ohio and West Virginia over a period of one year.

"Our study is based on the principle that there are guidelines on how to manage diabetes for the outpatient adult, and there are new guidelines for how to manage diabetes for patients in the hospital, but there are no guidelines for treating people in nursing homes," Shubrook said.

According to the study, only 38 percent of the patients monitored (98 percent) met blood glucose (sugar) goals. Only 55 percent of the patients monitored (94 percent) had satisfactory blood pressure levels. Only 31 percent of patients had lipids (serum total cholesterol) checks yearly, with 58 percent having acceptable levels.

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