NYMC Faculty Publications

Prevalence of a Hemoglobin A1c Less Than 7.0%, of a Blood Pressure Less Than 130/80 mm Hg, and of a Serum Low-Density Lipoprotein Cholesterol Less Than 100 mg/dL in Older Patients With Diabetes Mellitus in an Academic Nursing Home

Author Type(s)

Faculty

Journal Title

Journal of the American Medical Directors Association

First Page

51

Last Page

54

Document Type

Article

Publication Date

1-1-2008

Department

Medicine

Abstract

OBJECTIVE: To determine the prevalence of a hemoglobin A(1c) less than 7.0%, of a blood pressure less than 130/80 mm Hg, and of a serum low-density lipoprotein (LDL) cholesterol less than 100 mg/dL in older persons with diabetes mellitus who were not terminally ill in an academic nursing home.

DESIGN: We investigated in all older diabetic individuals who were not terminally ill in an academic nursing home the prevalence of a hemoglobin A(1c) less than 7.0%, of a blood pressure less than 130/80 mm Hg, and of a serum LDL cholesterol less than 100 mg/dL.

SETTING: An academic nursing home.

PARTICIPANTS: Of 202 persons, 62 (31%) had diabetes mellitus. The 62 diabetic individuals included 33 women and 29 men, mean age 73 +/- 9 years.

MEASUREMENTS: Prevalence of hemoglobin A(1c) less than 7.0%, of blood pressure less than 130/80 mm Hg, and of serum LDL cholesterol less than 100 mg/dL.

RESULTS: The hemoglobin A(1c) was less than 7.0% in 55 (89%) of 62 diabetic individuals. The blood pressure was less than 130/80 mm Hg in 52 (84%) of 62 diabetic individuals. The serum LDL cholesterol was less than 100 mg/dL in 55 (89%) of 62 diabetic individuals.

CONCLUSION: As recommended by the American Diabetes Association, the hemoglobin A(1c) was less than 7.0% in 55 (89%) of 62 diabetic individuals, the blood pressure was less than 130/80 mm Hg in 52 (84%) of 62 diabetic individuals, and the serum LDL cholesterol was less than 100 mg/dL in 55 (89%) of 62 diabetic individuals in an academic nursing home.

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