Younger Diabetes Diagnosis Linked to Worse Glycemic Control

Published Online: Tuesday, December 17, 2013
Follow Pharmacy_Times:
New research suggests that patients who are diagnosed with T2DM when they are younger than 65 years have worse glycemic control than those who are diagnosed at older ages.

The cross-sectional analysis, published in the December 2013 issue of Diabetologia, studied 1438 adults with self-reported T2DM who participated in the 2005-2010 National Health and Nutrition Examination Survey. Patients were categorized as younger than 65 years at diagnosis or as 65 years and older, and blood glucose levels were measured as the primary outcome.

Younger patients were significantly more likely to have poor glycemic control than older patients. Of patients younger than 65 years at diagnosis, 14.4% had glycated hemoglobin (A1C) levels >9% compared with just 2.5% of older patients. Those younger than 65 years at diabetes diagnosis were also more likely to have an A1C >8% and >7% than those older at diagnosis.

The results remained significant even after adjusting for education, income, insurance, duration of diabetes, and other factors. Patients diagnosed with diabetes at younger ages reported fewer comorbidities than their older counterparts but were less likely to report good health.

“Because patients who are younger at diagnosis have fewer competing comorbidities and complications, safe, aggressive, individualized treatment could benefit this higher-risk group,” the authors concluded. 

Related Articles
Jennifer Costello, PharmD, BCPS, BC-ADM, ambulatory care clinical pharmacist in the Internal Medicine Faculty Practice at Saint Barnabas Medical Center in Livingston, New Jersey, talks about the benefits and risks of insulin therapy.
Jennifer Costello, PharmD, BCPS, BC-ADM, ambulatory care clinical pharmacist in the Internal Medicine Faculty Practice at Saint Barnabas Medical Center in Livingston, New Jersey, describes some ways in which pharmacists can help patients with type 2 diabetes mellitus manage their disease.
Women with a history of depression may have greater odds of developing gestational diabetes.
Abbott’s new blood glucose meter is now widely available OTC without insurance co-pays.
Latest Issues
  • photo
    Pharmacy Times
    photo
    Health-System Edition
    photo
    Directions in Pharmacy
    photo
    OTC Guide
    photo
    Generic Supplements
  • photo
    Pharmacy Careers
    photo
    Specialty Pharmacy Times
    photo
    Generic
$auto_registration$