One‐minute mental status examination for category fluency is more useful than mini‐mental state examination to evaluate the reliability of insulin self‐injection in elderly diabetic patients. Issue 3 (2nd December 2013)

• Record Type: Journal Article
• Authors: Yajima, Ken; Matsushita, Takaya; Sumitomo, Hidetaka; Sakurai, Hirofumi; Katayama, Takashi; Kanno, Kazuo; Sakai, Masashi; Shigeta, Masayuki; Shirabe, Shinichiro; Nakano, Tadasumi; Nishimura, Kazuhiro; Ueki, Akio; Kitaoka, Masafumi
• Is Part Of: Journal of diabetes investigation. Volume 5:Issue 3(2014:Jun.)
• Page Start: 340
• Page End: 344
• Publication Date: 2013-12-02
• Subjects: Diabetes -- Periodicals; Diabetes -- Research -- Periodicals; Diabetes Mellitus -- Periodicals; 616.462005
• DOI: 10.1111/jdi.12159
• Languages: English
• ISSNs: 2040-1116

Abstract

<abstract abstract-type="main" id="jdi12159-abs-0001"> <title>Abstract</title> <sec id="jdi12159-sec-0001" sec-type="section"> <title>Aims/Introduction</title> <p>We investigated the factors associated with the reliability of insulin self‐injection in elderly diabetic patients receiving insulin therapy.</p> </sec> <sec id="jdi12159-sec-0002" sec-type="section"> <title>Materials and Methods</title> <p>We enrolled diabetic patients aged ≥65 years and receiving insulin therapy, and assessed their cognitive function by the mini‐mental state examination and 1‐min mental status examination for category fluency. We also observed their technique of insulin self‐injection, and evaluated whether or not patients were able to inject insulin by themselves according to nine defined details in terms of insulin self‐injection. The predictive factors for the reliability of insulin self‐injection were determined by univariate and multivariate logistic regression analysis. There were 278 participants (135 males, 143 females) enrolled in the present study.</p> </sec> <sec id="jdi12159-sec-0003" sec-type="section"> <title>Results</title> <p>According to multivariate logistic regression analysis, only the 1‐min mental status examination score was found to be a significant independent predictor of the reliability of insulin self‐injection (odds ratio 0.75; 95% confidence interval 0.62–0.90; <italic>P</italic> = 0.002).</p> </sec> <sec id="jdi12159-sec-0004" sec-type="section"> <title>Conclusions</title> <p>The 1‐min mental status examination for category fluency can be considered more useful than mini‐mental state examination to evaluate the reliability of insulin self‐injection in elderly diabetic patients receiving insulin therapy.</p> </sec> </abstract>