J Diabetes Investig. 2014 May 4;5(3):340-4.
One-minute mental status examination for category fluency is more useful than mini-mental state examination to evaluate the reliability of insulin self-injection in elderly diabetic patients.
- 1Department of Internal Medicine Federation of National Public Service Personnel Mutual Aid Associations Tachikawa Hospital Kanagawa Japan.
- 2Department of Diabetology, Endocrinology and Metabolism Tokyo Medical University Hachioji Medical Center Kanagawa Japan.
- 3Division of Endocrinology and Metabolism Tachikawa Sogo Hospital Kanagawa Japan.
- 4Department of Geriatric Medicine Tokyo Medical University Hospital Kanagawa Japan.
- 5Katayama Naika Clinic Kanagawa Japan.
- 6Kanno Clinic Kanagawa Japan.
- 7Department of Medicine Ryokufuso Hospital Kanagawa Japan.
- 8Division of Endocrinology and Metabolism Showa General Hospital Kanagawa Japan.
- 9H. E. C. Science Clinic Kanagawa Japan.
- 10Department of Diabetology Mitsubishi Kyoto Hospital Kyoto Japan.
- 11Department of Clinical Nutrition Ryokufuso Hospital Tokyo Japan.
- 12Division of Endocrinology and Metabolism Showa General Hospital Kanagawa Japan ; Nonprofit Organization West Tokyo Diabetic Association Tokyo Japan.
Abstract
AIMS/INTRODUCTION: We investigated the factors associated with the reliability of insulin self-injection in elderly diabetic patients receiving insulin therapy.
MATERIALS AND METHODS: We enrolled diabetic patients aged ≥65 years and receiving insulin therapy, and assessed their cognitive function by the mini-mental state examination and 1-min mental status examination for category fluency. We also observed their technique of insulin self-injection, and evaluated whether or not patients were able to inject insulin by themselves according to nine defined details in terms of insulin self-injection. The predictive factors for the reliability of insulin self-injection were determined by univariate and multivariate logistic regression analysis. There were 278 participants (135 males, 143 females) enrolled in the present study.
RESULTS: According to multivariate logistic regression analysis, only the 1-min mental status examination score was found to be a significant independent predictor of the reliability of insulin self-injection (odds ratio 0.75; 95% confidence interval 0.62-0.90; P = 0.002).
CONCLUSIONS: The 1-min mental status examination for category fluency can be considered more useful than mini-mental state examination to evaluate the reliability of insulin self-injection in elderly diabetic patients receiving insulin therapy.
KEYWORDS: Elderly; Insulin; Self medication
PMID: 24843784