@article {8282,
	title = {Older Adults Reporting More Diabetes Mellitus Care Have Greater 9 Year Survival},
	journal = {Journal of the American Geriatrics Society},
	volume = {63},
	year = {2015},
	pages = {2455},
	publisher = {63},
	abstract = {To determine whether receiving more recommended diabetes mellitus (DM) care processes (tests and screenings) would translate into better 9-year survival for middle-aged and older adults. Longitudinal mortality analysis using the Health and Retirement Study Diabetes Mailout Survey. Health and Retirement Study (HRS). Individuals aged 51 and older (n = 1,879; mean age 68.8    or -  8.7, 26.5  aged a yen 75) with self-reported DM who completed the Diabetes Mailout Survey and the core 2002 HRS survey. A composite measure of five self-reported diabetes mellitus care process measures were dichotomized as greater (3-5 processes) versus fewer (0-2 processes) care processes provided. Cox proportional hazards models were used to test relationships between reported measures and mortality, controlling for sociodemographic characteristics, function, comorbidities, geriatric conditions, and insulin use. Prevalence of self-reported care processes was 80.1  for glycosylated hemoglobin test, 75.9  for urine test, 67.5  for eye examination, 67.7  for aspirin counseling, and 48.2  for diabetes education. In 9 years, 32.1  respondents died. Greater care correlated with 24  lower risk of dying (adjusted hazard ratio = 0.76, 95  confidence interval = 0.64-0.91) at 9-year follow up. When respondents were age-stratified (a yen 75 vs  75) longer survival was statistically significant only in the older age group. Although it is not possible to account for differences in adherence to care that may also affect survival, this study demonstrates that monitoring of and counseling about types of DM care processes are associated with long-term survival benefit even in individuals aged 75 and older with DM.},
	keywords = {Health Conditions and Status, Healthcare},
	author = {Benjamin H Han and Caroline S Blaum and Rosie Ferris and Lillian C. Min and Pearl G. Lee}
}
@article {7950,
	title = {Physical Function Limitations Among Middle-Aged and Older Adults With Prediabetes One exercise prescription may not fit all},
	journal = {Diabetes Care},
	volume = {36},
	year = {2013},
	note = {Times Cited: 1},
	pages = {3076-3083},
	publisher = {36},
	abstract = {OBJECTIVETo describe the prevalence of physical function limitations among a nationally representative sample of adults with prediabetes.RESEARCH DESIGN AND METHODSWe performed a cross-sectional analysis of 5,991 respondents 53 years of age from the 2006 wave of the Health and Retirement Study. All respondents self-reported physical function limitations and comorbidities (chronic diseases and geriatric conditions). Respondents with prediabetes reported no diabetes and had a measured glycosylated hemoglobin (HbA(1c)) of 5.7-6.4 . Descriptive analyses and logistic regressions were used to compare respondents with prediabetes versus diabetes (diabetes history or HbA(1c) 6.5 ) or normoglycemia (no diabetes history and HbA(1c)  5.7 ).RESULTSTwenty-eight percent of respondents 53 years of age had prediabetes; 32  had mobility limitations (walking several blocks and/or climbing a flight of stairs); 56  had lower-extremity limitations (getting up from a chair and/or stooping, kneeling, or crouching); and 33  had upper-extremity limitations (pushing or pulling heavy objects and/or lifting  10 lb). Respondents with diabetes had the highest prevalence of comorbidities and physical function limitations, followed by those with prediabetes, and then normoglycemia (P   0.05). Compared with respondents with normoglycemia, respondents with prediabetes had a higher odds of having functional limitations that affected mobility (odds ratio  OR  1.48), the lower extremities (OR 1.35), and the upper extremities (OR 1.37) (all P   0.01). The higher odds of having lower-extremity limitations remained after adjusting for age, sex, and body mass index (OR 1.21, P   0.05).CONCLUSIONSComorbidities and physical function limitations are prevalent among middle-aged and older adults with prediabetes. Effective lifestyle interventions to prevent diabetes must accommodate physical function limitations.},
	keywords = {Demographics, Disabilities, Event History/Life Cycle, Health Conditions and Status, Other, Risk Taking},
	doi = {10.2337/dc13-0412},
	author = {Pearl G. Lee and Christine T Cigolle and Ha, Jinkyung and Lillian C. Min and Susan L Murphy and Caroline S Blaum and Herman, William H.}
}
