A short easy test can detect ability for autonomous insulin injection by the elderly with diabetes mellitus
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...
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| Main Authors: | , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2012
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| In: |
Journal of the American Medical Directors Association
Year: 2010, Volume: 13, Issue: 1 |
| ISSN: | 1538-9375 |
| DOI: | 10.1016/j.jamda.2010.10.006 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1016/j.jamda.2010.10.006 Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S1525861010003671 
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| Author Notes: | Andrej Zeyfang, Susanne Berndt, Gabriele Aurnhammer, Thorsten Nikolaus, Peter Oster, Anke Bahrmann |
| Summary: | 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. |
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| Item Description: | Available online 16 December 2010 Gesehen am 27.07.2018 |
| Physical Description: | Online Resource |
| ISSN: | 1538-9375 |
| DOI: | 10.1016/j.jamda.2010.10.006 |