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Yamane H.,Medical Corporation Jiseikai | Oka C.,Medical Corporation Jiseikai | Takeda Y.,Medical Corporation Jiseikai | Nakatani T.,Medical Corporation Jiseikai | And 2 more authors.
Journal of the Japan Diabetes Society | Year: 2015

We herein clarified issues with respect to the use of the long-term care insurance system in accordance with the increase in the number of elderly patients with diabetes mellitus (DM). We investigated the lifestyle status, certification level for care and the service use status in a total of 459 patients > 65 years of age who visited our hospital on an outpatient basis. We then compared these variables between patients with diabetes mellitus (DM group) and those without diabetes mellitus (non-DM group). Regarding the certification level, the DM group tended to include a greater proportion of patients certified as not requiring care than the non- DM group (P = 0.064), and facility admission was significantly more common in the DM group (P = 0.023) in terms of the use of long-term care insurance services. The level of independence in activities of daily living among elderly individuals with dementia was significantly lower in the DM compared to the non-DM group (P = 0.039). In elderly DM patients, it is important to detect cognitive declines at an early stage and provide support to enable the appropriate use of the long-term care insurance system.

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