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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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) |
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institution_category |
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institution |
International Islamic University Malaysia |
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collection |
Online Access |
language |
English English |
topic |
R Medicine (General) RA Public aspects of medicine RC Internal medicine |
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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 |
_version_ |
1777413514183311360 |