PMID- 26422335 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20221207 IS - 1742-1241 (Electronic) IS - 1368-5031 (Print) IS - 1368-5031 (Linking) VI - 69 IP - 12 DP - 2015 Dec TI - Older type 2 diabetic patients are more likely to achieve glycaemic and cardiovascular risk factors targets than younger patients: analysis of a primary care database. PG - 1486-95 LID - 10.1111/ijcp.12741 [doi] AB - BACKGROUND: Older subjects with type 2 diabetes mellitus (T2DM) have differential characteristics compared with middle-aged or younger populations, and require tailored management of the disease. AIMS: To evaluate how clinical characteristics, degree of control of glycaemia and cardiovascular risk factors, presence of chronic complications and treatments differ between older T2DM patients and younger adults. METHODS: Cross-sectional study using data from a population-based electronic database. We retrieved data from 318,020 patients >/= 30 years diagnosed with T2DM, attended during 2011 in primary care centres in Catalonia, Spain. We performed descriptive and comparative analyses stratified by gender and age subgroups: 85 years. RESULTS: Both men and women across older age subgroups (> 65 years) had longer diabetes duration than younger adults (8.0 vs. 5.6 in men and 8.4 vs. 6.9 years in women; p < 0.001), but better glycaemic control (mean glycated haemoglobin 7.1 vs. 7.7 in men and 7.1 vs. 7.4 in women; p < 0.001), and better combined control of different cardiovascular risk factors (p < 0.001). Moreover, older patients were more likely to achieve glycaemic targets irrespective of having cardiovascular disease. The use of oral antidiabetics decreased with increasing age, and insulin in monotherapy was more frequently prescribed among patients in the older age subgroups. Diabetes-related complications were more frequent in men of all group ages. In the older age subgroups, patients of both sexes had a longer duration of T2DM but better glycaemic control. In this context, the prevalence of diabetic retinopathy decreased unexpectedly with increasing age. CONCLUSION: Control of glycaemia and cardiovascular risk factors was better among older T2DM patients. There is a need for prospective studies to quantify the weight of risk factors in each complication to adapt the therapeutic and care approaches in elderly people. CI - (c) 2015 The Authors. International Journal of Clinical Practice Published by John Wiley & Sons Ltd. FAU - Barrot-de la Puente, J AU - Barrot-de la Puente J AD - Primary Health Care Center Doctor Jordi Nadal, Gerencia d'Ambit d'Atencio Primaria Girona Ciutat, Institut Catala de la Salut, Salt, Spain. AD - DAP-Cat group, Unitat de Suport a la Recerca Barcelona ciutat, Institut Universitari d'Investigacio en Atencio Primaria Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. FAU - Mata-Cases, M AU - Mata-Cases M AD - DAP-Cat group, Unitat de Suport a la Recerca Barcelona ciutat, Institut Universitari d'Investigacio en Atencio Primaria Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. AD - Primary Health Care Center La Mina, Gerencia d'Ambit d'Atencio Primaria Barcelona Ciutat, Institut Catala de la Salut, Sant Adria de Besos, Barcelona, Spain. AD - CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Barcelona, Spain. FAU - Franch-Nadal, J AU - Franch-Nadal J AD - DAP-Cat group, Unitat de Suport a la Recerca Barcelona ciutat, Institut Universitari d'Investigacio en Atencio Primaria Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. AD - CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Barcelona, Spain. AD - Primary Health Care Center Raval Sud, Gerencia d'Ambit d'Atencio Primaria Barcelona Ciutat, Institut Catala de la Salut, Barcelona, Spain. FAU - Mundet-Tuduri, X AU - Mundet-Tuduri X AD - DAP-Cat group, Unitat de Suport a la Recerca Barcelona ciutat, Institut Universitari d'Investigacio en Atencio Primaria Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. AD - Primary Health Care Center El Carmel, Gerencia d'Ambit d'Atencio Primaria Barcelona Ciutat, Institut Catala de la Salut, Barcelona, Spain. FAU - Casellas, A AU - Casellas A AD - DAP-Cat group, Unitat de Suport a la Recerca Barcelona ciutat, Institut Universitari d'Investigacio en Atencio Primaria Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. FAU - Fernandez-Real, J M AU - Fernandez-Real JM AD - Department of Endocrinology & Nutrition, Health Sciences Research Institute & Hospital Universitari Josep Trueta, Girona, Spain. AD - CIBER on Patophisiology, Obesity and Nutrition (CIBERON), Instituto de Salud Carlos III (ISCIII), Girona, Spain. FAU - Mauricio, D AU - Mauricio D AD - DAP-Cat group, Unitat de Suport a la Recerca Barcelona ciutat, Institut Universitari d'Investigacio en Atencio Primaria Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. AD - CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Barcelona, Spain. AD - Department of Endocrinology & Nutrition, Health Sciences Research Institute & Hospital Universitari Germans Trias i Pujol, Badalona, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150930 PL - India TA - Int J Clin Pract JT - International journal of clinical practice JID - 9712381 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) SB - IM MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Blood Glucose/analysis MH - Cardiovascular Diseases/etiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood/complications/*drug therapy MH - Female MH - Glycated Hemoglobin/analysis MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Male MH - Middle Aged MH - Prospective Studies MH - Risk Factors PMC - PMC5054846 EDAT- 2015/10/01 06:00 MHDA- 2016/12/15 06:00 PMCR- 2016/10/07 CRDT- 2015/10/01 06:00 PHST- 2015/10/01 06:00 [entrez] PHST- 2015/10/01 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] PHST- 2016/10/07 00:00 [pmc-release] AID - IJCP12741 [pii] AID - 10.1111/ijcp.12741 [doi] PST - ppublish SO - Int J Clin Pract. 2015 Dec;69(12):1486-95. doi: 10.1111/ijcp.12741. Epub 2015 Sep 30.