Current situation analysis of diabetic home care patients

OBJECTIVE: Diabetes is one of the primary diagnoses for admission to home health care units. Although there are many studies about elderly diabetic patients, there are not many studies on home care patients with diabetes. The present study aims to analyze the current status of diabetic home care patients with their biochemical data and medications.
METHODS: This was a retrospective study, including 256 diabetic patients who were following up by the Home Health Unit of Istanbul Provincial Health Directorate Public Hospitals Services-2. In this study, we analyzed the current biochemical data of the patients with their medications.
RESULTS: In this study, 185 female (72.3%) and 71 male (27.7%) patients were recruited with the mean HbA1c of 8.25±1.77. Among these patients, 65% of them were using oral antidiabetic (OAD), and 58% were using insulin. There were 21 (8.2%) patients who were not receiving any treatment. While patients who were using only oral antidiabetic have better A1c levels (A1c: 7.73±1.45), patients who were insülin using had HbA1c levels as high as the patients who were not using any medication. This may be due to the progression of diabetes, fear of hypoglycemia or insufficient insülin use. While metformin was the most commonly used OAD, with a 38% usage rate. When compared to HbA1c levels, there was no difference between the types of insulin used (p=0.167).
CONCLUSION: As a result, it is important to plan regular visits and personalized treatment by keeping in mind the benefits to risk ratios in home-care diabetic patients.

Diyabetli evde bakým hastalarýnýn mevcut durum analizi

AMAÇ: Diyabet, evde saðlýk birimine baþvuru nedenleri arasýnda primer tanýlardan biridir. Yaþlý diyabetikler hakkýnda birçok çalýþma bulunmakla beraber, diyabetik evde bakým hastalarý hakkýnda çok fazla çalýþma bulunmamaktadýr. Bu çalýþmanýn amacý diyabetik evde bakým hastalarýnýn mevcut durumlarýný biyokimyasal verileri ve ilaçlarý ile beraber analiz etmektir.
METOD: Bu çalýþma Ýstanbul Ýl Saðlýk Müdürlüðü Kamu Hastaneleri Hizmetleri-2 Evde Saðlýk Birimi tarafýndan takip edilen 256 diyabetik hastayý kapsayan retrospektif bir çalýþmadýr. Bu çalýþmada hastalarýn mevcut biyokimyasal verilerini ve ilaçlarýný analiz ettik.
BULGULAR: Bu çalýþmaya, HbA1c seviyeleri 8,25 ± 1,77 olan, 185 bayan (%72), 71 erkek (%27,7) hasta dahil edilmiþtir. Bu hastalarýn % 65’ i oral antidiyabetik ilaç (OAD) kullanýyorken % 58’i insülin kullanmakta idi. 21 (%8,2) hasta ise hiçbir tedavi almamaktaydý. Bunun nedeni diyabetin ilerlemiþ olmasý, hipoglisemi korkusu veya yetersiz insülin kullanýmý olabilir. Metformin %38’lik kullaným oraný ile en fazla kullanýlan OAD idi. HbA1c seviyerleri açýsýndan karþýlaþtýrýldýðýnda insülin tipleri arasýnda herhangi bir fark bulunmamýþtýr (p: 0,167).
SONUÇ: Sonuç olarak diyabetik evde bakým hastalarýnýn düzenli vizitlerinin ve kar zarar oranlarý göz önünde bulundurularak kiþiselleþtirilmiþ tedavilerinin planlanmasý önemlidir. (NCI-2019-0258)