Study demonstrates reduction in type 2 diabetes medication in older people
Prescriptions for type 2 diabetes drugs were reduced in more half than of older people with the condition as part of a drive to reduce medications, according to a study.
The possibility of cutting back on glucose-lowering medications one year after notification of possible over-treatment was investigation in a bid to gain insight into the opinions and beliefs of both care providers and people regarding de-intensification.
Researchers from Utrecht University, University of Leicester, Leicester Diabetes Centre and Leiden University identified 64 older people with type 2 diabetes defined as possibly over-treated using routine care data from five health centres in the Netherlands.
Characteristics and medication prescription were extracted from medical records, with opinions of care providers obtained through interviews. People with type 2 diabetes received questionnaires about their treatment for type 2 diabetes and were asked to participate in focus groups.
Summarising the results, the researchers said: “Care providers preferred person-centred care above just setting general HbA1c target values, considering patient characteristics (such as comorbidity) and patient’s preference. Patients valued glucose levels as most important in determining their treatment. Both patients and care providers felt that de-intensification should occur gradually.”
The researchers concluded: “Treatment had been de-intensified in more than half of the patients (56.3%). Insight in reasons for not de-intensifying elderly patients is important since treatment for them can be “person-centred care”. De-intensification is an iterative and time-intensive process.”
The study was published by the Patient Preference and Adherence journal. For more information, click here.