الفهرس 
ContentsOnly 14 pages are availabe for public view
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Abstract
Introduction: Of all the diseases, type 2 diabetes mellitus (T2DM) is the single most disease affecting a large number of elderly populations along with Hypertension. Diabetes and its complications take a major toll on the quality of life of the elderly and the healthcare costs of the society. Aim of the work: The aim of this study is to evaluate the effect of diabetic state control on diabetes burden in elderly. Subjects and Methods: A case control pilot study conducted on 100 old patients (> 65 years) with type 2 Diabetes Mellitus. All patients recruited from Mansoura Specialized Medical Hospital in the period from April 2019 to February 2020. Patients were divided into 2 groups: 50 Diabetic subjects with HBA1c > 8.5% (cases) & 50 Diabetic subjects with HBA1c < 8.5% (control). Results : There was no statistically significant difference found between two groups regarding systolic blood pressure (mmHg), diastolic blood pressure (mmHg), serum creatinine, urine albumin and albumin/creatinine ratio, and there was statistically significant difference between two groups regarding fasting glucose being higher in cases group than in control group. There was no statistically significant correlation between HbA1c and treatment dissatisfaction, but there was statistically significant positive correlation between HbA1c and symptoms burden, social burden, dietary restriction and burden by treatment in cases group. Conclusions : In conclusion, the EDBS is a simple, reliable and maybe a valid measure of diabetic-specific QOL in elderly people with diabetes mellitus. Use of the EDBS may be helpful to assess diabetes treatment in elderly patients. Because the present study was observational case-control study, further intervention studies are necessary to examine whether strict glycemic control with insulin therapy and psychological support would improve the diabetes burden and worry as assessed with the EDBS.