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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Diabetes+Investig
2017 ; 9
(3
): 623-8
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English Wikipedia
Predicting the ability of elderly diabetes patients to acquire the insulin
self-injection technique based on the number of animal names recalled
#MMPMID28846204
Minami T
; Yamada M
; Furuta R
; Kamata K
; Katsuragawa S
; Terui S
; Akiyama T
; Yoshii T
; Tsunoda T
; Terauchi Y
J Diabetes Investig
2017[Aug]; 9
(3
): 623-8
PMID28846204
show ga
AIMS/INTRODUCTION: To our knowledge, no studies have reported that cognitive
tests can be used to evaluate whether or not patients can acquire the insulin
self-injection technique. We investigated whether or not the number of animal
names recalled in 1 min by elderly diabetes patients could be used as a predictor
of the patients' ability to acquire the insulin self-injection technique within
1 week. MATERIALS AND METHODS: We enrolled 57 inpatients with type 2 diabetes
aged >60 years who were starting insulin therapy. We carried out the Mini-Mental
State Examination and verbal fluency tests, which included recalling animal names
and common nouns starting with the letters 'a,' 'ka' and 'shi' (Japanese
letters). We used 12 checkpoints for insulin self-injection to judge the
patients' levels of acquisition of the technique. The most predictive cognitive
test was determined by multivariate logistic regression analysis. RESULTS: In the
present study, multivariate logistic analysis showed that the number of animal
names recalled was the most reliable predictor of the ability to acquire the
insulin self-injection technique within 1 week. A figure of 11 animal names
predicted a successful acquisition, with a sensitivity of 73% and a specificity
of 91% being observed (area under the curve 0.87, 95% confidence interval
0.76-0.97, P < 0.01). CONCLUSIONS: The number of animal names recalled in 1 min
was the most useful indicator of the ability of elderly diabetes patients to
learn to manage insulin self-injection therapy within 1 week. The cut-off value
was 11 animal names.