Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1992-1-3
pubmed:abstractText
In 38 diabetic patients, admitted on a long-term basis to a nursing home, the clinical situation and presence of secondary diabetic complications were assessed, and their macrovascular complications and degree of glycemic control compared with those in ambulatory diabetic patients, matched for age, sex, known duration of diabetes and specific antidiabetic therapy. No differences in blood glucose control, plasma triglycerides, blood pressure and serum creatinine were observed between both groups of patients. Plasma cholesterol levels were higher in the ambulatory patients (6.4 +/- 1.0 vs 5.6 +/- 1.1 mmol/l, P = 0.008). Twenty-two nursing home patients had suffered from stroke, against 4 ambulatory patients. Hypertension was found in almost 50% of all patients, whereas its prevalence was highest in the stroke patients (69 vs 36%, P less than 0.01). In the nursing home patients, peripheral vascular abnormalities, skin necrosis or leg ulcers and recurrent urinary tract infections were frequently encountered, whereas in the ambulatory patients cardiac complaints were more prevalent. Use of medication, especially diuretics and anticoagulant agents, was higher in the nursing home patients. Diabetes and the sequelae of its macrovascular complications may greatly impair the quality of life of the diabetic patient, and place a large financial and personal burden on the health care in general. Better identification of diabetic patients with a high risk of stroke is necessary.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0168-8227
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
199-206
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:1959483-Aged, pubmed-meshheading:1959483-Ambulatory Care, pubmed-meshheading:1959483-Blood Glucose, pubmed-meshheading:1959483-Blood Pressure, pubmed-meshheading:1959483-C-Peptide, pubmed-meshheading:1959483-Cerebrovascular Disorders, pubmed-meshheading:1959483-Diabetes Complications, pubmed-meshheading:1959483-Diabetes Mellitus, pubmed-meshheading:1959483-Diabetic Diet, pubmed-meshheading:1959483-Female, pubmed-meshheading:1959483-Fructosamine, pubmed-meshheading:1959483-Hemoglobin A, Glycosylated, pubmed-meshheading:1959483-Hexosamines, pubmed-meshheading:1959483-Homes for the Aged, pubmed-meshheading:1959483-Humans, pubmed-meshheading:1959483-Hypertension, pubmed-meshheading:1959483-Hypoglycemic Agents, pubmed-meshheading:1959483-Insulin, pubmed-meshheading:1959483-Lipids, pubmed-meshheading:1959483-Long-Term Care, pubmed-meshheading:1959483-Male, pubmed-meshheading:1959483-Nursing Homes, pubmed-meshheading:1959483-Proteinuria
pubmed:year
1991
pubmed:articleTitle
Clinical characteristics and management of diabetic patients residing in a nursing home.
pubmed:affiliation
Department of Internal Medicine, University Hospital Maastricht, The Netherlands.
pubmed:publicationType
Journal Article, Comparative Study