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Factors associated with poor glycemic control in older Mexican American diabetics aged 75 years and older

TitleFactors associated with poor glycemic control in older Mexican American diabetics aged 75 years and older
Publication TypeJournal Article
Year of Publication2012
AuthorsOtiniano, ME, S. Snih, A, Goodwin, JS, Ray, L, AlGhatrif, M, Markides, KS
JournalJ Diabetes ComplicationsJ Diabetes Complications
Volume26
Pagination181-6
Date PublishedMay-Jun
ISBN Number1873-460X (Electronic)<br/>1056-8727 (Linking)
Accession Number22520403
KeywordsAge Factors, Aged, Aged, 80 and Over, Blood Glucose/metabolism, Diabetes Complications/epidemiology/etiology/prevention & control, Diabetes Mellitus/blood/epidemiology/ethnology/ therapy, Female, Glucose Metabolism Disorders/epidemiology/ etiology/ prevention & control, Humans, Male, Mexican Americans/ statistics & numerical data, Risk Factors, Social Class, Treatment Outcome
AbstractOBJECTIVE: This study examines the prevalence and correlates of poor glycemic control in Mexican Americans aged 75 years and older with diabetes. METHODS: Data are from the 5(th) wave (2004-05) of the Hispanic Established Population for the Epidemiological Study of the Elderly (H-EPESE). A total of 2,069 Mexican Americans aged 75 and over were interviewed. Six hundred eighty nine subjects (33.5%) reported having been diagnosed with diabetes and 209 (30.3%) subjects agreed to a blood test of their HbA(1)c level. RESULTS: Of the 209 diabetic subjects with an HbA(1)c test, 73 (34.9%) had good glycemic control (HbA(1)c 7%). Bivariate analysis revealed that subjects with poor control had longer disease duration, had lower education, used the glucometer more frequently, and had more diabetes-complications when compared to those in the good glycemic control group. Multivariable logistic regression analysis found the following factors associated with poor glycemic control: