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Research Letter
January 2017

Glycemic Control and Functional Decline in Nursing Home Residents With Diabetes

Author Affiliations
  • 1Department of Geriatrics, Palo Alto Medical Foundation, Palo Alto, California
  • 2Division of Geriatrics, University of California, San Francisco
JAMA Intern Med. 2017;177(1):130-132. doi:10.1001/jamainternmed.2016.6949

Type 1 and 2 diabetes increases the risk of dependence in activities of daily living (ADLs) in older adults.1,2 However, stringent glycemic control in frail older adults may not improve physical function3 and can lead to adverse effects.4 Thus, we sought to determine the association between hemoglobin A1c (HbA1c) levels, persistent functional decline, and death in a national sample of nursing home residents.

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