Management of diabetes in longterm care and skilled nursing facilities: A position statement of the American diabetes association

Diabetes Care

Volumn 39, Issue 2, 2016, Pages 308-318

  Munshi, Medha N ^a   Florez, Hermes ^b   Huang, Elbert S ^c   Kalyani, Rita R ^d   Mupanomunda, Maria ^e   Pandya, Naushira ^f   Swift, Carrie S ^g   Taveira, Tracey H ^h   Haas, Linda B ⁱ  

^a HARVARD MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF MIAMI   (United States)

^c UNIVERSITY OF CHICAGO   (United States)

^d JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e AMERICAN DIABETES ASSOCIATION   (United States)

^f Nova Southeastern University   (United States)

^g Landstuhl Regional Medical Center   (United States)

^h UNIVERSITY OF RHODE ISLAND   (United States)

ⁱ Private Consultant ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

2,4 THIAZOLIDINEDIONE DERIVATIVE; ANTIDIABETIC AGENT; BIGUANIDE DERIVATIVE; DIPEPTIDYL PEPTIDASE IV INHIBITOR; GLUCAGON LIKE PEPTIDE 1 RECEPTOR AGONIST; INSULIN; MEGLITINIDE; METFORMIN; SULFONYLUREA DERIVATIVE; GLUCOSE BLOOD LEVEL;

ARTICLE; BLOOD GLUCOSE MONITORING; CLINICAL PROTOCOL; COMORBIDITY; DIABETES MELLITUS; DYING; ENTERIC FEEDING; GLYCEMIC CONTROL; HOSPICE CARE; HUMAN; HYPOGLYCEMIA; LONG TERM CARE; MEDICAL SOCIETY; NURSING HOME; NUTRITION; PALLIATIVE THERAPY; PATIENT CARE; PHYSICAL ACTIVITY; PHYSICIAN; PRACTICE GUIDELINE; QUALITY OF LIFE; TERMINAL CARE; TRANSITIONAL CARE; UNITED STATES; ADULT; AGED; DISEASE MANAGEMENT; GLUCOSE BLOOD LEVEL; MIDDLE AGED; NURSING; PREVALENCE; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; BLOOD GLUCOSE; COMORBIDITY; DIABETES COMPLICATIONS; DIABETES MELLITUS; DISEASE MANAGEMENT; HUMANS; HYPOGLYCEMIA; HYPOGLYCEMIC AGENTS; INSULIN; LONG-TERM CARE; MIDDLE AGED; PREVALENCE; QUALITY OF LIFE; SKILLED NURSING FACILITIES; UNITED STATES;

EID: 84962124070     PISSN: 01495992     EISSN: 19355548     Source Type: Journal    
DOI: 10.2337/dc15-2512     Document Type: Article

References (56)

1. Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2014: Estimates of Diabetes and Its Burden in the United States. Atlanta, GA, U.S. Department of Health and Human Services, 2014
2. Newton CA, Adeel S, Sadeghi-Yarandi S, et al. Prevalence, quality of care, and complications in long term care residents with diabetes: a multi-center observational study. J Am Med Dir Assoc 2013;14:842-846
3. Dybicz SB, Thompson S, Molotsky S, Stuart B. Prevalence of diabetes and the burden of co-morbid conditions among elderly nursing home residents. Am J Geriatr Pharmacother 2011;9:212-223
4. Resnick HE, Heineman J, Stone R, Shorr RI. Diabetes in U.S. nursing homes, 2004. Diabetes Care 2008;31:287-288
5. American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care 2013;36:1033-1046
6. Kalyani RR, Egan JM. Diabetes and altered glucose metabolism with aging. Endocrinol Metab Clin North Am 2013;42:333-347
7. Lu FP, Lin KP, Kuo HK. Diabetes and the risk of multi-system aging phenotypes: a systematic review and meta-analysis. PLoS One 2009;4: e4144
8. Munshi M Managing the "geriatric syndrome" in patients with type 2 diabetes. Consult Pharm 2008;23 Suppl. B:12-16
9. Kirkman MS, Briscoe VJ, Clark N, et al. Diabetes in older adults. Diabetes Care 2012;35:2650-2664
10. Moghissi ES, Korytkowski MT, Di Nardo M, et al.; American Association of Clinical Endocrinologists; American Diabetes Association. American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control. Diabetes Care 2009;32:1119-1131
11. Agency for Healthcare Research and Quality. Diabetes management in the long term care setting [Internet], 2010. Available from http:// www.guideline.gov/content.aspx?i d 5 45527. Accessed 30 June 2015
12. Inzucchi SE, Bergenstal RM, Buse JB, et al. Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care 2015; 38:140-149
13. Sinclair A, Morley JE, Rodriguez-Manas L, et al. Diabetes mellitus in older people: position statement on behalf of the International Association of Gerontology and Geriatrics (IAGG), the European Diabetes Working Party for Older People (EDWPOP), and the International Task Force of Experts in Diabetes. J Am Med Dir Assoc 2012;13:497-502
14. Huang ES, Laiteerapong N, Liu JY, John PM, Moffet HH, Karter AJ. Rates of complications and mortality in older patients with diabetes mellitus: the diabetes and aging study. JAMA Intern Med 2014;174:251-258
15. Donnelly LA, Morris AD, Frier BM, et al.; DARTS/MEMO Collaboration. Frequency and predictors of hypoglycaemia in type 1 and insulin-treated type 2 diabetes: a population-based study. Diabet Med 2005;22:749-755
16. UK Hypoglycaemia Study Group. Risk of hypoglycaemia in types 1 and 2 diabetes: effects of treatment modalities and their duration. Diabe-tologia 2007;50:1140-1147
17. Migdal A, Yarandi SS, Smiley D, Umpierrez GE. Update on diabetes in the elderly and in nursing home residents. J Am Med Dir Assoc 2011; 12:627-32.e2
18. Shorr RI, Ray WA, Daugherty JR, Griffin MR. Incidence and risk factors for serious hypoglycemia in older persons using insulin or sulfonylureas. Arch Intern Med 1997;157:1681-1686
19. Lipska KJ, Ross JS, Wang Y, et al. National trends in US hospital admissions for hyperglycemia and hypoglycemia among Medicare beneficiaries, 1999 to 2011. JAMA Intern Med 2014; 174:1116-1124
20. Thomson FJ, Masson EA, Leeming JT, Boulton AJ. Lack of knowledge of symptoms of hypoglycaemia by elderly diabetic patients. Age Ageing 1991;20:404-406
21. Huang ES, Zhang Q, Gandra N, Chin MH, Meltzer DO. The effect of comorbid illness and functional status on the expected benefits of intensive glucose control in older patients with type 2 diabetes: a decision analysis. Ann Intern Med 2008;149:11-19
22. Fulton MM, Allen ER. Polypharmacy in the elderly: a literature review. J Am Acad Nurse Pract 2005;17:123-132
23. Gregg EW, Mangione CM, Cauley JA, et al.; Study of Osteoporotic Fractures Research Group. Diabetes and incidence of functional disability in older women. Diabetes Care 2002;25: 61-67
24. Maurer MS, Burcham J, Cheng H. Diabetes mellitus is associated with an increased risk of falls in elderly residents of a long-term care facility. J Gerontol A Biol Sci Med Sci 2005;60: 1157-1162
25. American Geriatrics Society 2012 Beers Criteria Update Expert Panel. American Geriatrics Society updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc 2012;60:616-631
26. Pandya N, Thompson S, Sambamoorthi U. The prevalence and persistence of sliding scale insulin use among newly admitted elderly nursing home residents with diabetes mellitus. J Am Med Dir Assoc 2008;9:663-669
27. Dorner B, Friedrich EK, Posthauer ME; American Dietetic Association. Position of the American Dietetic Association: individualized nutrition approaches for older adults in health care communities. J Am Diet Assoc 2010;110: 1549-1553
28. Pohl M, Mayr P, Mertl-Roetzer M, et al. Glycemic control in patients with type 2 diabetes mellitus with a disease-specific enteral formula: stage II of a randomized, controlled multicenter trial. J Parenter Enteral Nutr 2009; 33:37-49
29. Elia M, Ceriello A, Laube H, Sinclair AJ, Engfer M, Stratton RJ. Enteral nutritional support and use of diabetes-specific formulas for patients with diabetes: a systematic review and meta-analysis. Diabetes Care 2005;28: 2267-2279
30. Hume AL, Kirwin J, Bieber HL, et al.; American College of Clinical Pharmacy. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy 2012;32:e326-e337
31. Johnson A, Guirguis E, Grace Y. Preventing medication errors in transitions of care: a patient case approach. J Am Pharm Assoc (2003) 2015;55:e264-e274; quiz e75-276
32. American Medical Directors Association. Diabetes management in the long-term care setting clinical practice guideline. Columbia, MD, American Medical Directors Association, 2010
33. Aspden P. Preventing Medication Errors. Washington, DC, The National Academies Press, 2007
34. Snow V, Beck D, Budnitz T, et al. Transitions of care consensus policy statement: American College of Physicians, Society of General Internal Medicine, Society of Hospital Medicine, American Geriatrics Society, American College of Emergency Physicians, and Society for Academic Emergency Medicine. J Hosp Med 2009; 4:364-370
35. Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA 2007;297:831-841
36. Arora VM, Prochaska ML, Farnan JM, et al. Problems after discharge and understanding of communication with their primary care physicians among hospitalized seniors: a mixed methods study. J Hosp Med 2010;5:385-391
37. Coleman EA, Smith JD, Raha D, Min SJ. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med 2005;165:1842-1847
38. Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med 2007;167: 1305-1311
39. Parekh TM, Raji M, Lin YL, Tan A, Kuo YF, Goodwin JS. Hypoglycemia after antimicrobial drug prescription for older patients using sulfo-nylureas. JAMA Intern Med 2014;174:1605-1612
40. Coleman EA, Berenson RA. Lost in transition: challenges and opportunities for improving the quality of transitional care. Ann Intern Med 2004;141:533-536
41. Donoghue C. Nursing home staff turnover and retention: an analysis of national level data. J Appl Gerontol 2010;29:89-106
42. Boyle PJ, O'Neil KW, Berry CA, Stowell SA, Miller SC. Improving diabetes care and patient outcomes in skilled-care communities: successes and lessons from a quality improvement initiative. J Am Med Dir Assoc 2013;14:340-344
43. IDF Clinical Guidelines Task Force. Global guideline for type 2 diabetes: recommendations for standard, comprehensive, and minimal care. Diabet Med 2006;23:579-593
44. Wagle A. Transitions of care settings. In Diabetes Management in Long-Term Settings: A Clinician's Guide to Optimal Care for the Elderly. Haas LB, Burke SD, Eds. Alexandria, VA, American Diabetes Association, 2014, p. 233-244
45. Quinn K, Hudson P, Dunning T. Diabetes management in patients receiving palliative care. J Pain Symptom Manage 2006;32:275-286
46. Dunning T, Savage S, Duggan N, Martin P. Developing clinical guidelines for end-of-life care: blending evidence and consensus. Int J Palliat Nurs 2012;18:397-405
47. Dunning T, Duggan N, Savage S, Martin P. Diabetes and end of life: ethical and methodological issues in gathering evidence to guide care. Scand J Caring Sci 2013;27:203-211
48. Mallery LH, Ransom T, Steeves B, Cook B, Dunbar P, Moorhouse P. Evidence-informed guidelines for treating frail older adults with type 2 diabetes: from the Diabetes Care Program of Nova Scotia (DCPNS) and the Palliative and Therapeutic Harmonization (PATH) program. J Am Med Dir Assoc 2013;14:801-808
49. American Geriatrics Society Panel on Pharmacological Management of Persistent Pain in Older Persons. Pharmacological management of persistent pain in older persons. J Am Geriatr Soc 2009;57:1331-1346
50. McCoubrie R, Jeffrey D, Paton C, Dawes L. Managing diabetes mellitus in patients with advanced cancer: a case note audit and guidelines. Eur J Cancer Care (Engl) 2005;14:244-248
51. Lee SJ, Jacobson MA, Johnston CB. Improving diabetes care for hospice patients. Am J Hosp Palliat Care. 7 April 2015 [Epub ahead of print]. DOI: 10.1177/1049909115578386
52. Angelo M, Ruchalski C, Sproge BJ. An approach to diabetes mellitus in hospice and palliative medicine. J Palliat Med 2011;14:83-87
53. Ford-Dunn S, Smith A, Quin J. Management of diabetes during the last days of life: attitudes of consultant diabetologists and consultant palliative care physicians in the UK. Palliat Med 2006;20:197-203
54. Pandya N, Patel M. The medical director's viewpoint. In Diabetes Management in Long-Term Settings: A Clinician's Guide to Optimal Care for the Elderly. Haas LB, Burke SD, Eds. Alexandria, VA, American Diabetes Association, 2014, p. 7-16
55. Harvath TA, Swafford K, Smith K, et al. Enhancing nursing leadership in long-term care. A review of the literature. Res Gerontol Nurs 2008;1:187-196
56. Vogelsmeier AA, Farrah SJ, Roam A, Ott L. Evaluation of a leadership development academy for RNs in long-term care. Nurs Adm Q 2010;34:122-129