A short easy test can detect ability for autonomous insulin injection by the elderly with diabetes mellitus

• Verfasst von: Zeyfang, Andrej [VerfasserIn]
• Verfasst von: Oster, Peter [VerfasserIn]
• Verfasst von: Bahrmann, Anke [VerfasserIn]
• Titel: A short easy test can detect ability for autonomous insulin injection by the elderly with diabetes mellitus
• Verf.angabe: Andrej Zeyfang, Susanne Berndt, Gabriele Aurnhammer, Thorsten Nikolaus, Peter Oster, Anke Bahrmann
• Jahr: 2012
• Jahr des Originals: 2010
• Umfang: 4 S.
• Fussnoten: Available online 16 December 2010 ; Gesehen am 27.07.2018
• Titel Quelle: Enthalten in: American Medical Directors AssociationJournal of the American Medical Directors Association
• Ort Quelle: New York, NY : Elsevier, 2001
• Jahr Quelle: 2012
• Band/Heft Quelle: 13(2012),1, Seite 81.e15-81.e18
• ISSN Quelle: 1538-9375
• DOI: doi:10.1016/j.jamda.2010.10.006
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Diabetes mellitus
• Sach-SW: geriatric
• Sach-SW: insulin injection
• Sach-SW: money counting
• Sach-SW: self-management
• K10plus-PPN: 1578013550

Abstract

Objective - Elderly patients with diabetes often have difficulty with self-administering insulin. It was the aim of the present study to find a short, easy performance test, such as the Timed Test of Money Counting (TTMC), that identifies elderly patients with diabetes, in grade to undertake proper insulin injection autonomously and correctly. - Patients and Methods - A total of 73 insulin-dependent patients (age 77.3 ± 7.1 years, HbA1c 8.2% ± 2.0%) completed the TTMC as part of a comprehensive geriatric assessment before and 3 months after structured diabetes education. - Results - The TTMC showed a sensitivity of 69.2% for autonomous injection of insulin 3 months after diabetes education, if patients performed the test within a time duration of less than 46 seconds. Specificity is 70% and positive predictive value 78.7% in this case. - Study Implication - The TTMC seems to be a suitable predictor for ability to inject insulin autonomously after receiving diabetes education. The expenditure of time is only about 5 minutes and it helps to identify patients with diabetes who are able to inject insulin themselves after diabetes education.