Hinke M van der Werf, Wolter Paans, Anneke L Francke, Petrie F Roodbol, Marie Louise A Luttik
Identifying and Supporting Students with a Chronically Ill Family Member: A Mixed-Methods Study on the Perceived Competences and Role Views of Lecturers
International journal of environmental research and public health
older adults diabetes mellitus require drug treatment considering frailty cognitive function hypoglycemia investigated association diabetic pharmacologic therapy diabetic complications frailty across eight diabetesspecific outpatient clinics nationwide participants aged 6080 years type 2 diabetes require nursing care included study basic attributes patient background complications hypoglycemic status body weight body composition blood tests grip strength kihon checklist frailty index selfcare scores obtained descriptive statistics ttest chisquare test regression analyses employed evaluation overall 417 participants included 224 men 193 women mean age 701 54 years diabetes duration 149 109 years body mass index 245 38 glycated hemoglobin 722 098 proportion individuals frailty prefrailty 199 410 respectively drugs used frequently prefrailty conditions diabetes medication related complications body composition frailty follows sulfonylurea lower hypoglycemia glinide severe hypoglycemia retinopathy weaker grip strength high kihon checklist score decreased physical activities alphaglucosidase inhibitors association biguanide high body mass index high body fat stronger grip strength thiazolidinedione decreased instrumental activities daily living dipeptidylpeptidase4 inhibitors association sodiumglucose cotransporter 2 inhibitors retinopathy high body mass index kihon checklist score depressive mood glucagonlike peptide1 receptor agonists high body mass index body fat poor nutritional status insulin preparations hypoglycemia retinopathy neuropathy nephropathy cardiovascular diseases weaker grip strength high kihon checklist score physical inactivity formulations glinide sodiumglucose cotransporter 2 inhibitors insulin associated increased frequency frailty warranting careful individualized diabetes treatment