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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: Zeyfang, Andrej (Author) , Oster, Peter (Author) , Bahrmann, Anke (Author)
Format: Article (Journal)
Language:English
Published: 2012
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

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520 |a 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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