PMID- 26675268 OWN - NLM STAT- MEDLINE DCOM- 20171026 LR - 20181202 IS - 1579-2021 (Electronic) IS - 1575-0922 (Linking) VI - 63 IP - 2 DP - 2016 Feb TI - Differences in clinical and biological characteristics and prevalence of chronic complications related to aging in patients with type 2 diabetes. PG - 79-86 LID - S1575-0922(15)00279-X [pii] LID - 10.1016/j.endonu.2015.10.005 [doi] AB - Type 2 diabetes mellitus (T2DM) is a chronic, highly prevalent disease that increases with age. Because of this, and due to its chronic complications, T2DM causes high human, social, and financial costs. In addition, the elderly population with T2DM has a marked clinical heterogeneity. Therefore, our main objective was to analyze the relationship of age with the clinical and biological manifestations of the disease and the prevalence of chronic complications in patients with T2DM. MATERIAL AND METHODS: A cross-sectional study of a large population with T2DM (n=405) randomly selected from a Diabetes Unit and 2 health care centers (60%). The clinical, anthropometric, and biochemical variables of the subjects were collected using standard methods to assess the effect of age on the clinical and biochemical phenotype of patients with T2DM. RESULTS: We have noted that patients with T2DM > 70 years old have a clinical and biochemical phenotype different from younger subjects (<60 years) including longer times since diabetes onset, higher diastolic blood pressure levels, and lower body mass index (BMI) values. As regards to biological variables, these patients have lower triglyceride levels, impaired kidney function, and lower HbA1c values. Prevalence of metabolic syndrome is lower in patients with T2DM > 70 years of age. Age was inversely related to parameters associated to metabolic syndrome (BMI, waist circumference, blood pressure, and triglyceride levels). CONCLUSIONS: We have defined the clinical and biochemical profile of patients with T2DM > 70 years attending health care centers. In addition, the prevalence of stroke, kidney disease, and distal symmetrical polyneuropathy is higher in patients with T2DM >70 years as compared to younger patients (<60 years). CI - Copyright (c) 2015 SEEN. Published by Elsevier Espana, S.L.U. All rights reserved. FAU - Basanta-Alario, Maria Luisa AU - Basanta-Alario ML AD - Departamento de Fisioterapia, Universitat de Valencia, Valencia, Espana. FAU - Ferri, Jordi AU - Ferri J AD - Servicio de Endocrinologia y Nutricion, Hospital Clinico Universitario de Valencia, Valencia, Espana. Electronic address: ferrisss@hotmail.com. FAU - Civera, Miguel AU - Civera M AD - Servicio de Endocrinologia y Nutricion, Hospital Clinico Universitario de Valencia, Valencia, Espana. FAU - Martinez-Hervas, Sergio AU - Martinez-Hervas S AD - Servicio de Endocrinologia y Nutricion, Hospital Clinico Universitario de Valencia, Valencia, Espana; Departamento de Medicina, Universitat de Valencia, CIBERDEM e INCLIVA, Valencia, Espana. FAU - Ascaso, Juan Francisco AU - Ascaso JF AD - Servicio de Endocrinologia y Nutricion, Hospital Clinico Universitario de Valencia, Valencia, Espana; Departamento de Medicina, Universitat de Valencia, CIBERDEM e INCLIVA, Valencia, Espana. FAU - Real, Jose Tomas AU - Real JT AD - Servicio de Endocrinologia y Nutricion, Hospital Clinico Universitario de Valencia, Valencia, Espana; Departamento de Medicina, Universitat de Valencia, CIBERDEM e INCLIVA, Valencia, Espana. LA - eng LA - spa PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151207 PL - Spain TA - Endocrinol Nutr JT - Endocrinologia y nutricion : organo de la Sociedad Espanola de Endocrinologia y Nutricion JID - 100886482 RN - 0 (Triglycerides) SB - IM MH - *Age Factors MH - Aged MH - Blood Pressure MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*complications MH - Female MH - Humans MH - Male MH - Metabolic Syndrome/epidemiology MH - Middle Aged MH - Prevalence MH - Triglycerides/blood MH - Waist Circumference OTO - NOTNLM OT - Anciano OT - Chronic diabetic complications OT - Clinical and biochemical profile OT - Complicaciones cronicas de la diabetes OT - Diabetes tipo 2 OT - Elderly OT - Metabolic syndrome OT - Perfil clinico biologico OT - Sindrome metabolico OT - Type 2 diabetes mellitus EDAT- 2015/12/18 06:00 MHDA- 2017/10/27 06:00 CRDT- 2015/12/18 06:00 PHST- 2015/06/28 00:00 [received] PHST- 2015/10/05 00:00 [revised] PHST- 2015/10/05 00:00 [accepted] PHST- 2015/12/18 06:00 [entrez] PHST- 2015/12/18 06:00 [pubmed] PHST- 2017/10/27 06:00 [medline] AID - S1575-0922(15)00279-X [pii] AID - 10.1016/j.endonu.2015.10.005 [doi] PST - ppublish SO - Endocrinol Nutr. 2016 Feb;63(2):79-86. doi: 10.1016/j.endonu.2015.10.005. Epub 2015 Dec 7.