Antidiabetic burdens among geriatric diabetic patients and its association with quality of life

Geriatric diabetic patients contribute to the major demographic background of diabetic patients follow up in primary health clinics. Despite their increasing age and morbidities, they are still targeted towards good sugar control achieving ideal HbA1c level, without taking into consideration of t...

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Main Authors: Shalihin, Mohd Shaiful Ehsan, Mukhali, Hassan Basri, Ahmad Zubadi, Zati Sabrina, Md Aris, Mohd Aznan, Omar, Ahmad Marzuki, Fauzi, Abdullah, Zulkifli, Nurul Afiqah, Abdul Aziz, Azrul Aziz
Format: Conference or Workshop Item
Language:English
English
Published: 2019
Subjects:
Online Access:http://irep.iium.edu.my/75609/
http://irep.iium.edu.my/75609/19/75609%20abstract.pdf
http://irep.iium.edu.my/75609/1/KRD%20Elderly%20DM%202019%20latest.pdf
id iium-75609
recordtype eprints
spelling iium-756092019-11-27T02:21:19Z http://irep.iium.edu.my/75609/ Antidiabetic burdens among geriatric diabetic patients and its association with quality of life Shalihin, Mohd Shaiful Ehsan Mukhali, Hassan Basri Ahmad Zubadi, Zati Sabrina Md Aris, Mohd Aznan Omar, Ahmad Marzuki Fauzi, Abdullah Zulkifli, Nurul Afiqah Abdul Aziz, Azrul Aziz R Medicine (General) RA Public aspects of medicine RC Internal medicine Geriatric diabetic patients contribute to the major demographic background of diabetic patients follow up in primary health clinics. Despite their increasing age and morbidities, they are still targeted towards good sugar control achieving ideal HbA1c level, without taking into consideration of their quality of life. This study aims to determine the prevalence of antidiabetic usage among geriatric diabetic patients and their association with the patients quality of life. A cross-sectional study was done among 269 geriatric diabetic patients in all government health clinics in Kuantan using Diabetes Quality of Life questionnaire. SPSS version 23 is used for statistical analysis. Most of the geriatrics are female (61%), Malay (84.8%), pensioner (54.3%), education up to primary school (52%) and stay with family members (93.7%). In terms of antidiabetic agents, mostly depend on two antidiabetic agents (48%) followed by single antidiabetic agent (32%). 0.4% still taking glibenclamide despite its risk of hypoglycaemia. Usage of insulin is still common in the elderly in which 21% of them are on intermediate-acting insulin, 15.6% on premixed insulin and 7.8% on shortacting insulin. Interestingly, those taking a higher number of antidiabetic agents are associated with higher DQOL score (p = 0.03) compared to those taking one or two antidiabetic medications. Those taking long-acting insulin also significantly have higher DQOL score (0.037). Despite the risk of polypharmacy, geriatric patients do benefit the better quality of life with the further intensification of their antidiabetic medications according to guidelines. Usage of long-acting insulin has a lower risk of hypoglycaemia in which contribute to the quality score. 2019 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/75609/19/75609%20abstract.pdf application/pdf en http://irep.iium.edu.my/75609/1/KRD%20Elderly%20DM%202019%20latest.pdf Shalihin, Mohd Shaiful Ehsan and Mukhali, Hassan Basri and Ahmad Zubadi, Zati Sabrina and Md Aris, Mohd Aznan and Omar, Ahmad Marzuki and Fauzi, Abdullah and Zulkifli, Nurul Afiqah and Abdul Aziz, Azrul Aziz (2019) Antidiabetic burdens among geriatric diabetic patients and its association with quality of life. In: Kuantan Research Day 2019, 23rd October 2019, Kuantan, Pahang. (Unpublished)
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic R Medicine (General)
RA Public aspects of medicine
RC Internal medicine
spellingShingle R Medicine (General)
RA Public aspects of medicine
RC Internal medicine
Shalihin, Mohd Shaiful Ehsan
Mukhali, Hassan Basri
Ahmad Zubadi, Zati Sabrina
Md Aris, Mohd Aznan
Omar, Ahmad Marzuki
Fauzi, Abdullah
Zulkifli, Nurul Afiqah
Abdul Aziz, Azrul Aziz
Antidiabetic burdens among geriatric diabetic patients and its association with quality of life
description Geriatric diabetic patients contribute to the major demographic background of diabetic patients follow up in primary health clinics. Despite their increasing age and morbidities, they are still targeted towards good sugar control achieving ideal HbA1c level, without taking into consideration of their quality of life. This study aims to determine the prevalence of antidiabetic usage among geriatric diabetic patients and their association with the patients quality of life. A cross-sectional study was done among 269 geriatric diabetic patients in all government health clinics in Kuantan using Diabetes Quality of Life questionnaire. SPSS version 23 is used for statistical analysis. Most of the geriatrics are female (61%), Malay (84.8%), pensioner (54.3%), education up to primary school (52%) and stay with family members (93.7%). In terms of antidiabetic agents, mostly depend on two antidiabetic agents (48%) followed by single antidiabetic agent (32%). 0.4% still taking glibenclamide despite its risk of hypoglycaemia. Usage of insulin is still common in the elderly in which 21% of them are on intermediate-acting insulin, 15.6% on premixed insulin and 7.8% on shortacting insulin. Interestingly, those taking a higher number of antidiabetic agents are associated with higher DQOL score (p = 0.03) compared to those taking one or two antidiabetic medications. Those taking long-acting insulin also significantly have higher DQOL score (0.037). Despite the risk of polypharmacy, geriatric patients do benefit the better quality of life with the further intensification of their antidiabetic medications according to guidelines. Usage of long-acting insulin has a lower risk of hypoglycaemia in which contribute to the quality score.
format Conference or Workshop Item
author Shalihin, Mohd Shaiful Ehsan
Mukhali, Hassan Basri
Ahmad Zubadi, Zati Sabrina
Md Aris, Mohd Aznan
Omar, Ahmad Marzuki
Fauzi, Abdullah
Zulkifli, Nurul Afiqah
Abdul Aziz, Azrul Aziz
author_facet Shalihin, Mohd Shaiful Ehsan
Mukhali, Hassan Basri
Ahmad Zubadi, Zati Sabrina
Md Aris, Mohd Aznan
Omar, Ahmad Marzuki
Fauzi, Abdullah
Zulkifli, Nurul Afiqah
Abdul Aziz, Azrul Aziz
author_sort Shalihin, Mohd Shaiful Ehsan
title Antidiabetic burdens among geriatric diabetic patients and its association with quality of life
title_short Antidiabetic burdens among geriatric diabetic patients and its association with quality of life
title_full Antidiabetic burdens among geriatric diabetic patients and its association with quality of life
title_fullStr Antidiabetic burdens among geriatric diabetic patients and its association with quality of life
title_full_unstemmed Antidiabetic burdens among geriatric diabetic patients and its association with quality of life
title_sort antidiabetic burdens among geriatric diabetic patients and its association with quality of life
publishDate 2019
url http://irep.iium.edu.my/75609/
http://irep.iium.edu.my/75609/19/75609%20abstract.pdf
http://irep.iium.edu.my/75609/1/KRD%20Elderly%20DM%202019%20latest.pdf
first_indexed 2023-09-18T21:46:58Z
last_indexed 2023-09-18T21:46:58Z
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