Diabetes Management in End of Life: A Preliminary Report Stemming From Clinical Experience

R. Dionisio, A. Giardini, P. De Cata, B. Pirali, S. Rossi, E. M. Negri, P. Ferrari, P. Preti

Research output: Contribution to journalArticlepeer-review

Abstract

The increasing coexistence of cancer and diabetes within the elderly population requires specific palliative care skills on diabetes treatment. We report our experience of diabetes management in a palliative care setting. In our retrospective 3-year activity sample (n = 563), 27.2% of patients have a diagnosis of diabetes mellitus: 80% have cancer whereas 20% have a main diagnosis of other severe chronic diseases. As to the presence/absence of diabetes, no differences emerge in the examined clinical indicators and global survival, with the exception of body mass index and days of hospitalization. At lifetime analysis, Barthel index and palliative prognostic index are the only parameters significantly related to death. Even if diabetes seems not to modify the prognosis, it significantly influences the health care burden and the team engagement.

Original languageEnglish
Pages (from-to)588-593
Number of pages6
JournalAmerican Journal of Hospice and Palliative Medicine
Volume32
Issue number6
DOIs
Publication statusPublished - Sep 10 2015

Keywords

  • cancer
  • diabetes management
  • end of life
  • palliative care
  • personalized antidiabetic therapy

ASJC Scopus subject areas

  • Medicine(all)

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