Predictors of urinary incontinence in community-dwelling frail older adults with diabetes mellitus in a cross-sectional study.

Background: Diabetes mellitus is a potent risk factor for urinary incontinence. Previous studies of incontinence in patients with diabetes have focused on younger, healthier patients. Our objective was to characterize risk factors for urinary incontinence among frail older adults with diabetes mellitus in a real-world clinical setting.

Glycosylated hemoglobin and functional decline in community-dwelling nursing home-eligible elderly adults with diabetes mellitus.

Objectives: To determine whether glycosylated hemoglobin (HbA1c) levels predict functional decline in older adults.

Design: Longitudinal cohort study.

Participants: Community-dwelling, nursing home (NH)-eligible individuals with diabetes mellitus enrolled at On Lok between October 2002 and December 2008 (367 participants, 1,579 HbA1c measurements).

The risks and benefits of implementing glycemic control guidelines in frail older adults with diabetes mellitus.

Objectives: To determine the hypo- and hyperglycemic outcomes associated with implementing the American Geriatrics Society (AGS) guideline for a glycosylated hemoglobin (HbA1c) level of less than 8% in frail older adults with diabetes mellitus (DM).

Design: Guideline implementation.

Setting: Program of All-Inclusive Care for the Elderly.