Fingerstick glucose monitoring by cognitive impairment status in Veterans Affairs nursing home residents with diabetes.

ABSTRACT:

Background

Guidelines recommend nursing home (NH) residents with cognitive impairment receive less intensive glycemic treatment and less frequent fingerstick monitoring. Our objective was to determine whether current practice aligns with guideline recommendations by examining fingerstick frequency in Veterans Affairs (VA) NH residents with diabetes across cognitive impairment levels.

Methods

We identified VA NH residents with diabetes aged ≥65 residing in VA NHs for >30 days between 2016 and 2019. Residents were grouped by cognitive impairment status based on the Cognitive Function Scale: cognitively intact, mild impairment, moderate impairment, and severe impairment. We also categorized residents into mutually exclusive glucose-lowering medication (GLM) categories: (1) no G

SUBMITTER: Nguyen B 

PROVIDER: S-EPMC9705158 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature