Journal article
Risk factor management in stable, insulin-treated patients with Type 2 diabetes: the Diabetes Outcomes in Veterans Study
Journal of diabetes and its complications, Vol.17(4), pp.186-191
07/2003
DOI: 10.1016/S1056-8727(02)00257-X
PMID: 12810241
Abstract
Describe the methodologies and study population of the Diabetes Outcomes in Veterans Study (DOVES).
Prospective, multicenter, observational study of Southwestern veterans with stable, insulin-treated Type 2 diabetes. Subjects were randomly selected from pharmacy records and were required to be using at least one long-acting insulin preparation daily. Baseline psychosocial evaluations included psychological status, social and cultural barriers to care, self-care behaviors, and vascular disease risk factors. Clinical measurements included self-reported vascular disease, hemoglobin A1c (HbA1c), blood pressure, blood lipids, and body mass index (BMI). A subset of subjects completed a protocol of four times daily self-monitored blood glucose testing for 8 weeks. Subjects were followed for 12 months. Principal endpoints included glycemic control, the occurrence of hypoglycemia, and control of vascular disease risk factors.
We enrolled 338 subjects. The mean (+/-S.D.) age was 65.1+/-9.7 years and 3.8% were women. At baseline, over two-thirds of subjects reported vascular disease complications. Nearly three-quarters had limited physical activity. Among subjects younger than 65 years, 53% considered themselves disabled for work. Despite the high prevalence of vascular disease, 43.8% had an HbA1c >/=8.0%. Many subjects were sedentary, 62.1% had a BMI of 30 kg/m(2) or above, and 22.2% were still smoking.
Detailed measurements of psychological status, self-care behaviors, and risk factor control are feasible in this elderly, debilitated population. Although the prevalence of complications and self-rated disability was high, vascular disease risk factors were poorly controlled in a substantial proportion of subjects.
Details
- Title: Subtitle
- Risk factor management in stable, insulin-treated patients with Type 2 diabetes: the Diabetes Outcomes in Veterans Study
- Creators
- Glen H Murata - Department of Medicine, New Mexico VA Health Care System, Albuquerque, NM 87108, USA. glen.murata@med.va.govJayendra H ShahChristopher S WendelRichard M HoffmanKaren D AdamSyed U BokhariPatricia A SolvasWilliam C Duckworth
- Resource Type
- Journal article
- Publication Details
- Journal of diabetes and its complications, Vol.17(4), pp.186-191
- DOI
- 10.1016/S1056-8727(02)00257-X
- PMID
- 12810241
- ISSN
- 1056-8727
- eISSN
- 1873-460X
- Language
- English
- Date published
- 07/2003
- Academic Unit
- Epidemiology; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984094656302771
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