Most Older Diabetics Don't Get Recommended Medication Tweaks
(MedPage Today) -- Most older adults with type 2 diabetes whose HbA1c level was outside the American Diabetes Association (ADA)-recommended target did not have their medications adjusted, a review of electronic health records indicated. Among...
A review of electronic health records for nearly 90,000 older adults with type 2 diabetes found that most did not receive medication adjustments according to the American Diabetes Association's recommended targets. Among those with HbA1c levels below the guideline goals, only 16.9% had their regimen deintensified, while 32.8% of those above goal had their treatment intensified, according to researchers led by Phuc Le of the Cleveland Clinic.
Older adults with poor health status were more likely to have treatment intensified, even if their HbA1c was significantly below goal, while healthier patients with higher HbA1c levels were less likely to receive intensification. The study suggests opportunities for improvement in treatment alignment for both ends of the glycemic spectrum, with the aim of achieving the right treatment intensity for each individual patient.
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