Overtreatment of T2DM Common Among VA Nursing Home Residents

FRIDAY, March 25, 2022 (HealthDay News) -- Nursing home residents are often overtreated for type 2 diabetes, and a minority have their medication regimens deintensified, according to a study published online March 23 in the Journal of the American Geriatrics Society.
Lauren I. Lederle, M.D., from San Francisco Virginia Medical Center, and colleagues conducted a cohort study from Jan. 1, 2013, to Dec. 31, 2019, among 7,422 Veterans Affairs nursing home residents age ≥65 with type 2 diabetes. Overtreatment was defined as hemoglobin A1c (HbA1c) <6.5 with any insulin use, while HbA1c <7.5 with any insulin use or HbA1c <6.5 with any glucose-lowering medication other than metformin alone was defined as potential overtreatment.
The researchers found that 17 and 23 percent of the residents met the criteria for overtreatment and potential overtreatment, respectively. Of those who were overtreated and potentially overtreated at baseline, medication regimens were deintensified among 27 and 19 percent, respectively. The odds of continued overtreatment were increased in association with long-acting insulin use and hyperglycemia ≥300 mg/dL before index HbA1c (odds ratios, 1.37 and 1.35, respectively). The odds of continued overtreatment were reduced with severe functional impairment (odds ratio, 0.72). There was no association seen for hypoglycemia with reduced odds of overtreatment.
"Based on our study results, it will be important to develop deprescribing initiatives in nursing homes at time of admission that use behavior change principles to overcome prescribing inertia in overtreated residents," the authors write.
Related Posts
Cosmetic Outcome Comparable With 1-, 2-cm Suture Spacing
WEDNESDAY, May 18, 2022 (HealthDay News) -- One-centimeter suture spacing is not...
AHA News: Hola, papás: Ustedes tienen un papel de gran importancia en la salud de sus hijos
JUEVES, 15 de junio de 2023 (American Heart Association News) -- Los papás...
Your Guide to Pain Relief After Knee, Hip Replacement
FRIDAY, Oct. 21, 2022 (HealthDay News) -- Getting a new knee or hip can be...
Waning Immunity Most Consistent With Recent Mumps Outbreaks
TUESDAY, Jan. 10, 2023 (HealthDay News) -- A waning immunity model is most...