Shalena Nesaratnam
Malaysia
Research Article
Glycemic Variability among Older Adults with Type 2 Diabetes
Author(s): Chin Voon Tong, Nurain Mohd Noor, Masni Mohamad, Shalena Nesaratnam and Zanariah HusseinChin Voon Tong, Nurain Mohd Noor, Masni Mohamad, Shalena Nesaratnam and Zanariah Hussein
Objective: The aim of this study was to evaluate Glycemic Variability (GV) among older adults with type 2 diabetes in a tertiary center (Putrajaya Hospital) using the Continuous Glucose Monitoring System (CGMS) and to compare the GV between patients with optimal versus suboptimal glycemic control. Research designs and methods: A total of 138 patients (69 with HbA1c<7% (53 mmol/mol) and another 69 with HbA1c ≥ 7% (53 mmol/mol) with type 2 diabetes age 65 and above were included in this study. All subjects underwent baseline clinical evaluation followed by monitoring using CGMS for six days. Data from CGMS was extracted to calculate GV using the Easy GV software available at www.easygv.co.uk. Results: The patients with HbA1c ≥ 7% (53 mmol/l) had significantly longer duration of diabetes, higher use of insulin, more micro-vascular complications,.. View More»