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dc.contributor.authorDavies, Therese Thuen
dc.contributor.authorGraue, Marit
dc.contributor.authorIgland, Jannicke
dc.contributor.authorTell, Grethe S.
dc.contributor.authorBirkeland, Kåre I.
dc.contributor.authorPeyrot, Mark
dc.contributor.authorHaltbakk, Johannes
dc.coverage.spatialNorway, Bergennb_NO
dc.date.accessioned2019-04-01T13:50:07Z
dc.date.available2019-04-01T13:50:07Z
dc.date.created2018-10-07T12:37:49Z
dc.date.issued2018
dc.identifier.citationDavies, T. T., Graue, M., Igland, J., Tell, G. S., Birkeland, K. I., Peyrot, M., & Haltbakk, J. (2019). Diabetes prevalence among older people receiving care at home: associations with symptoms, health status and psychological well-being. Diabetic Medicine, 36(1), 96-104.nb_NO
dc.identifier.issn0742-3071
dc.identifier.urihttp://hdl.handle.net/11250/2592755
dc.descriptionThis is the peer reviewed (post-print) version of the following article: Davies, T. T., Graue, M., Igland, J., Tell, G. S., Birkeland, K. I., Peyrot, M. & Haltbakk, J. (2019). Diabetes prevalence among older people receiving care at home: associations with symptoms, health status and psychological well-being. Diabetic Medicine, 36(1), 96-104, which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/dme.13790. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.nb_NO
dc.description.abstractAims To determine the prevalence of diabetes among older people receiving care at home, and to explore differences in sociodemographic and clinical characteristics, symptoms, health status, quality of life and psychological well‐being between diabetes categories defined as HbA1c ≥ 48 mmol/mol (6.5%) and/or self‐report. Methods A community‐based sample of 377 people receiving care at home in Western Norway participated in a cross‐sectional survey. Instruments included the MMSE‐NR, Symptom Check‐List, WHO Quality of Life‐BREF (WHOQOL‐BREF, global items), EuroQol EQ‐5D‐5L/EQ‐5D‐VAS and WHO‐Five Well‐Being Index (WHO‐5). Participants were grouped into four categories: no diabetes, self‐report only, HbA1c ≥ 48 mmol/mol (6.5%) and self‐report, and HbA1c ≥ 48 mmol/mol (6.5%) only. Results Median age (IQR) was 86 (81–91) years and 34% of the sample were men. We identified 92 people (24%) with diabetes. Diabetes was more prevalent in men than women (34% vs. 20%, age‐adjusted P = 0.005). Among people with diabetes, 14% were unaware of their diagnosis. There were significant differences in symptoms between the diabetes categories, with more symptoms (abnormal thirst, polyuria, genital itching, nausea, excessive hunger, perspiring, cold hands/feet, daytime sleepiness) among the groups with elevated HbA1c. Significant differences in WHO‐5, WHOQOL‐BREF and EQ‐5D‐5L between diabetes categories were identified, with the poorest scores in the group with undiagnosed diabetes. Conclusions A high percentage of people with diabetes receiving care at home are unaware of their diagnosis. Diabetes deserves increased case‐finding efforts and allocation of resources towards those receiving care at home to alleviate symptoms and the burden of inadequate diabetes care.nb_NO
dc.language.isoengnb_NO
dc.publisherWileynb_NO
dc.titleDiabetes prevalence among older people receiving care at home: associations with symptoms, health status and psychological well-beingnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionacceptedVersionnb_NO
dc.subject.nsiVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Endokrinologi: 774nb_NO
dc.source.pagenumber1-9nb_NO
dc.source.volume36nb_NO
dc.source.journalDiabetic Medicinenb_NO
dc.identifier.doi10.1111/dme.13790
dc.identifier.cristin1618471
cristin.unitcode203,11,1,0
cristin.unitcode203,11,12,0
cristin.unitnameInstitutt for helse- og omsorgsvitskap
cristin.unitnameSenter for kunnskapsbasert praksis
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.fulltextpostprint
cristin.qualitycode1


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