Bengal Physician Journal

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VOLUME 7 , ISSUE 2 ( May-August, 2020 ) > List of Articles

Original Article

A Study of Fall Risk Assessment in Elderly Patients Based on Diabetes and its Significance

Tanuka Mandal, Sanjit Mal, Purbasha Biswas

Keywords : Diabetes, Elderly, Falls, Insulin, Oral hypoglycemic agents

Citation Information : Mandal T, Mal S, Biswas P. A Study of Fall Risk Assessment in Elderly Patients Based on Diabetes and its Significance. Bengal Physician Journal 2020; 7 (2):26-30.

DOI: 10.5005/jp-journals-10070-7029

License: CC BY-NC 4.0

Published Online: 01-08-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Background: With a rise in the elderly population worldwide, falls have been seen to cause a substantial increase in mortality and morbidity in this age group. Multiple factors have been held responsible for resulting in falls, which can be broadly classified as intrinsic causes and extrinsic causes. Diabetes along with hypertension has been considered to be one of the major intrinsic causes leading to increase in incidence of fall. Materials and methods: The objective of the study was to find out estimation of fall risk among diabetic elderly with history of fall in last 6 months and evaluation of its recurrence over the next 1 year. This prospective observational cohort study was conducted at Outpatient Department of General Medicine Department of RG Kar Medical College, Kolkata, West Bengal, India, from July 2017 to September 2018. Data were collected from 116 elderly patients. Results: Our study demonstrated that patients on insulin along with oral hypoglycemics (OHA) had increased number of falls through the next year. Diabetes was also found to be significantly associated with intrinsic fall. Number of falls through next year was significantly associated with taking patients insulin. Conclusion: This study reveals that diabetes along with use of antidiabetics in elderly population increased risk of fall in this population. With the elderly population increasing in West Bengal, larger studies will help to explain the increased incidence of fall in all diabetic elderly population further.

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  1. Kim KS, Kim SK, Sung KM, et al. Management of type 2 diabetes mellitus in older adults. Diabetes Metab J 2012;36(5):336–344. DOI: 10.4093/dmj.2012.36.5.336. Epub 2012 Oct 18. PMID: 23130317; PMCID: PMC3486979.
  2. Sinclair A, Morley JE, Rodriguez-Mañas L, et al. Diabetes mellitus in older people: position statement on behalf of the International Association of Gerontology and Geriatrics (IAGG), the European Diabetes Working Party for Older People (EDWPOP), and the International Task Force of Experts in Diabetes. J Am Med Dir Assoc 2012;13(6):497–502. DOI: 10.1016/j.jamda.2012.04.012. PMID: 22748719.
  3. Kirkman MS, Briscoe VJ, Clark N, et al. Diabetes in older adults. Diabetes Care 2012;35(12):2650–2664. DOI: 10.2337/dc12-1801. Epub 2012 Oct 25. PMID: 23100048; PMCID: PMC3507610.
  4. Yau RK, Strotmeyer ES, Resnick HE, et al. Diabetes and risk of hospitalized fall injury among older adults. Diabetes Care. 2013;36(12):3985–3991. DOI: 10.2337/dc13-0429. Epub 2013 Oct 15. PMID: 24130352; PMCID: PMC3836123.
  5. Park SW, Goodpaster BH, Strotmeyer ES, et al. Accelerated loss of skeletal muscle strength in older adults with type 2 diabetes: the health, aging, and body composition study. Diabetes Care. 2007;30(6):1507–1512. DOI: 10.2337/dc06-2537. Epub 2007 Mar 15. PMID: 17363749.
  6. Berlie HD, Garwood CL. Diabetes medications related to an increased risk of falls and fall-related morbidity in the elderly. Ann Pharmacother 2010;44(4):712–717. DOI: 10.1345/aph.1M551. Epub 2010 Mar 9. PMID: 20215495.
  7. Schwartz AV, Vittinghoff E, Sellmeyer DE, et al. Diabetes-related complications, glycemic control, and falls in older adults. Diabetes Care. 2008;31(3):391–396. DOI: 10.2337/dc07-1152. Epub 2007 Dec 4. Erratum in: Diabetes Care 2008;31(5):1089. PMID: 18056893; PMCID: PMC2288549.
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