Author(s): Taylor CD, Hendra TJ
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Abstract OBJECTIVE: to investigate the prevalence of known diabetes mellitus in care homes and the patterns of diabetes care in these institutions. DESIGN: a postal questionnaire sent to all 98 care homes in Sheffield. RESULTS: 70 care homes (71\%) returned the questionnaire, indicating that 233 (8.8\%) of 2648 residents were known to have diabetes. Of these, 76 (33\%) were treated with diet alone, 105 (45\%) with diet plus oral medication and 52 (22\%) with insulin. Only seven registered nurses (2\%) in the homes had certified diabetes training. Forty-two homes (60\%) did not carry out a structured, diabetes-related assessment of residents on entry and only 29 (42\%) had regular review of diabetic residents by a general practitioner or practice nurse. Most homes (89\%) were visited by an optician, 56 (80\%) also had a regular chiropody service, although 32 (46\%) of these charged their residents for this service. CONCLUSIONS: the known prevalence of diabetes is similar to that reported previously. This study highlights the need for structured care with defined standards for care-home residents with diabetes.
This article was published in Age Ageing
and referenced in Journal of Gerontology & Geriatric Research