Relation between Comprehensive-geriatric-assessment and the Ability of Self-administration in Elderly Diabetic Patients

• Published in: YAKUGAKU ZASSHI Vol. 127; no. 12; pp. 2091 - 2095
• Main Authors: HORIKAWA, Shunji, TOKUMOTO, Kazuya, KANAMEDA, Kayo, KAWAKAMI, Keiko, TADASA, Nobuko, ISOGAI, Akihiko, TAKEMASU, Mayumi, ITO, Akihiko
• Format: Journal Article
• Language: Japanese; English
• Published: Japan The Pharmaceutical Society of Japan 01.12.2007
• Subjects: Aged; Aged, 80 and over; comprehensive-geriatric-assessment; diabetes mellitus; Diabetes Mellitus - drug therapy; elderly; Female; Geriatric Assessment; Humans; Hypoglycemic Agents - administration & dosage; Insulin - administration & dosage; Male; Self Administration - statistics & numerical data; Surveys and Questionnaires
• ISSN: 0031-6903; 1347-5231
• DOI: 10.1248/yakushi.127.2091

Intellectual ability of self-administration plays a crucial role in a diabetes regimen. However, in many cases, self-administration is considered difficult, because of the impairment of activities of the individual's daily living (ADL), instrumental ADL and cognitive function. To assess comprehensive-geriatric-assessment (CGA) in elderly diabetic sufferers, 62 elderly inpatients and outpatients aged over 70 years were investigated. CGA includes Barthel index (BI), Mini-mental-state-examination (MMSE) and the Tokyo Metropolitan Institute of Gerontology index of competence (TMIGIC). The relation of ability to self-administer and CGA was examined. In oral therapy, there was significant difference between self-administration and non-self-administration in MMSE (p=0.0065), BI (p=0.0219) and TMIGIC (p=0.0053). Among these indexes, TMIGIC was the most sensitive index in oral therapy. In insulin therapy, there was also significant difference between self-administration and non-self-administration: MMSE (p=0.00042), BI (p=0.000019) and TMIGIC (p=0.0019). Among these indexes, BI was the most sensitive index in insulin therapy. It was suggested that CGA was useful to assess the ability of self-administration in elderly diabetic patients.