Type 2 diabetes mellitus is more commonly well controlled in younger men compared to older men
M. Zahid Kocak ORCID Icon, Gulali Aktas, Tuba T. Duman, Burcin M. Atak, Satilmis Bilgin, Ozge Kurtkulagi &  show all
Received 10 May 2019, Accepted 18 May 2019, Published online: 01 Jun 2019
Download citation  https://doi.org/10.1080/13685538.2019.1621833 

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Abstract
Aims: Type 2 Diabetes Mellitus (T2DM) is nearly epidemic worldwide. Greater skeletal muscle mass in men is protective against the development of T2DM compared to women, however, nutritional diversity, stress levels and other factors also affects this situation. In present retrospective study, we aimed to observe diabetic control level, metabolic parameters and general characteristics of type 2 diabetic men and to compare these values in middle aged and elderly diabetic population.

Methods: The male patients with T2DM that admitted to the outpatient internal medicine clinics of our institution between November 2018 and April 2019 were included to the study. According to the age, study population divided into two groups; either younger than 60 years (group I) and 60 years or older (group II). Study parameters were compared between study groups.

Results: Fasting plasma glucose (FPG) and glycated Hb level (HbA1c) of group I were lower than those of the group II (p = 0.004 for FPG and p = 0.048 for HbA1c). Control level of T2DM was defined as well controlled in 20 (29%) patients in group I and 5 (10.9%) patients in group II (p = 0.02).

Conclusion: Physicians should aware that well controlled T2DM is more common among younger diabetic men compared to older men and try to enhance diabetic regulation level in elderly men by interventions that aimed to improve skeletal muscle or by pharmacologic agents.

Keywords: Type 2 diabetes mellitus, elderly men, HbA1c, fasting glucose