Aim: This study aimed to investigate the prevalence of type 2 diabetes (T2D) among Danish nursing home residents (aged ⩾65 years). Methods: Individuals with T2D in the Danish population of older adults in 2018 were identified using a Danish diabetes register based on administrative and clinical register data. Data on age, sex, type of housing, educational level and place of origin were obtained from various high-quality administrative registers. We calculated frequencies of T2D among older adults living in nursing homes and in other types of housing. We performed a multiple logistic regression analysis to estimate the odds ratio (OR) of T2D among people living in nursing homes and adjusted for sex, age, educational level and place of origin. Results: All Danish older adults aged ⩾65 years, alive and living in Denmark on 31 December 2018 were included (N=1,170,517). Nursing home residents accounted for 37,891 older adults, and of these, 19% had T2D, whereas 14% of older adults living in other types of housing had T2D. According to the multiple logistic regression analysis, nursing home residents had a higher OR of having T2D compared to older adults living in other types of housing (OR=1.47; confidence interval 1.43–1.51) when adjusting for socio-demographic factors. Conclusions: The prevalence of T2D in nursing home residents exceeds the prevalence in the background population at ⩾65 years of age. This indicates a need for increased focus on individualised interdisciplinary care plans aimed at maintaining physical function and maximising quality of life for this group of vulnerable older adults.
Bibliographical noteFunding Information:
The authors would like to acknowledge the Steno Diabetes Center Copenhagen for sharing valuable guidance on the identification of people with diabetes based on the Danish diabetes register. We thank Margit Dall Aaslyng, Tenna Christoffersen, Hannah Holt Bentz and Line Lindahl-Jacobsen for contributing to important discussions of the results. Moreover, we are grateful to the Steno Diabetes Center Zealand for supporting the present study with a research grant.
- glycaemic control
- nursing home residents
- older adults
- quality of life
- tailored health care
- Type 2 diabetes