Patient age: a neglected factor when considering disease management in adults with type 2 diabetes.
OBJECTIVE
The average age at diagnosis for type 2 diabetes is decreasing. However, because age is most often controlled for in clinical research, little is known regarding how adult age is associated with diabetes disease-related variables.


METHODS
In a community based study with type 2 diabetes patients (N=506), after adjusting for potentially confounding variables, we examined associations between patients' age and: stress, depression, diabetes-related distress, self-efficacy, diet, exercise, and glycemic control. We then explored to what extent age interacts with these variables in their association with glycemic control.


RESULTS
Younger age was independently associated with: greater chronic stress and negative life events, higher levels of diabetes-related distress, higher depressed affect, eating healthier foods and exercising less frequently, lower diabetes self-efficacy, and higher HbA1c. Interactions showed that younger patients with high stress and/or low self-efficacy were more likely to have higher HbA1c levels than older patients.


CONCLUSIONS
Results suggest younger adult patients with type 2 diabetes represent a unique patient subgroup with specific needs and health risks based on their developmental stage and life context.


CONCLUSIONS
Treatment programs need to target younger adult patients and may need to utilize different media or modalities (e.g., social media) to reach this group.
Department of Family & Community Medicine, University of California, San Francisco, 94143, USA. hesslerd@fcm.ucsf.edu
Danielle M
DM
Hessler
Lawrence
L
Fisher
Joseph T
JT
Mullan
Russell E
RE
Glasgow
Umesh
U
Masharani
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000032:analysis; D016009:Chi-Square Distribution; D003863:Depression / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology / Q000628:therapy*; D004032:Diet; D015444:Exercise; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D012648:Self Care; D020377:Self Efficacy; D013315:Stress, Psychological / Q000453:epidemiology
D001786:Blood Glucose; D006442:Glycated Hemoglobin