2026-04-17T22:15:59Zhttps://recercat.cat/oai/request

oai:recercat.cat:10256/169692024-06-18T12:40:33Zcom_2072_452955com_2072_2054col_2072_453079

00925njm 22002777a 4500 dc Barrot, Joan author Mata Cases, Manel author Franch Nadal, Josep author Mundet Tudurí, X. author Casellas, A. author Fernández-Real Lemos, José Manuel author Mauricio, Didac author 2015-01-01 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: ≤ 65, 66-75, 76-85 and >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 http://hdl.handle.net/10256/16969 Diabetis no-insulinodependent Non-insulin-dependent diabetes Sistema cardiovascular -- Malalties Cardiovascular system -- Diseases 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