{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T04:41:23Z","timestamp":1792384883953,"version":"4.4.0"},"reference-count":52,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003107","name":"Bundesministerium f\u00fcr Gesundheit","doi-asserted-by":"publisher","award":["ZMVI1\u20102518FSB410"],"award-info":[{"award-number":["ZMVI1\u20102518FSB410"]}],"id":[{"id":"10.13039\/501100003107","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The study aims (1) to evaluate the quality of diabetes care considering guideline\u2010recommended medical therapies, cardiometabolic factors, and self\u2010management of health behaviours among older adults with diabetes in Germany, and (2) to examine time trends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>People aged 66\u2009years and older with diabetes were identified from the examination part of the German national Study on Health of Older People (Gesundheit65+) in 2022\/2023. Diabetes care indicators included physical exercise, non\u2010smoking, non\u2010obesity, blood pressure (BP) control, guideline\u2010based medication use for statins, ACEI\/ARB, GLP\u20101RA\/SGLT2i, and aspirin. Temporal trends were examined in a subgroup aged 66\u201379\u2009years using national health survey data from 1997 to 1999 and 2008 to 2010.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 292 older adults with diabetes in Gesundheit65+, 90.6% were non\u2010smokers, 69.6% were non\u2010obese, 74.2% achieved BP control, and 45.5% engaged in physical exercise. Overall, 73.6% reported use of antidiabetics, with 24.3% treated by mono\u2010metformin therapy, 16.9% with insulin (alone or in combination), and 32.4% by other glucose\u2010lowering medication. Guideline\u2010recommended medication use was 65.7% for statins overall and 88.4% for ACEI\/ARB among individuals with hypertension. Among individuals with cardiovascular disease, it was 36.8% for GLP\u20101 RA\/SGLT2i and 55.4% for aspirin. Trend analysis in 66\u2010 to 79\u2010year\u2010olds showed a decrease in insulin use and improvements regarding physical exercise, non\u2010obesity, BP control and guideline\u2010based medications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In Germany, most older adults with diabetes meet targets of non\u2010smoking, non\u2010obesity and BP control. Use of novel glucose\u2010lowering medications with cardiorenal benefits is low. Despite improvements over time, guideline\u2010based medication use should be further improved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.71184","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T06:37:52Z","timestamp":1786516672000},"page":"10018-10027","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quality of Diabetes Care Among Older Adults in Germany\u2014Results of the Study on Health of Older People 2022\/2023 Compared With Previous National Health Surveys"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8309-9293","authenticated-orcid":false,"given":"Yong","family":"Du","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Health Monitoring Robert Koch Institute  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giselle","family":"Sarganas","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Monitoring Robert Koch Institute  Berlin Germany"},{"name":"DZHK (German Centre for Cardiovascular Research), Partner Site Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beate","family":"Gaertner","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Monitoring Robert Koch Institute  Berlin Germany"},{"name":"DZHK (German Centre for Cardiovascular Research), Partner Site Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maike","family":"Buchmann","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Monitoring Robert Koch Institute  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Monitoring Robert Koch Institute  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannelore","family":"Neuhauser","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Monitoring Robert Koch Institute  Berlin Germany"},{"name":"DZHK (German Centre for Cardiovascular Research), Partner Site Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christin","family":"Heidemann","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Monitoring Robert Koch Institute  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108078"},{"key":"e_1_2_10_3_1","unstructured":"Robert Koch Institute \u201cDiabetes Mellitus: Prevalence (From 18\u2009Years) \u201d(2025) www.gbe.rki.de\/diabetes\u2010prevalence."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1791-0918"},{"issue":"3","key":"e_1_2_10_5_1","article-title":"Trends in Prevalence and Number of Cases of Diagnosed Type 2 Diabetes in Germany: Projections Until 2050","volume":"10","author":"Baumert J.","year":"2025","journal-title":"Journal of Health Monitoring"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2019.24.4.160"},{"key":"e_1_2_10_7_1","volume-title":"Endotext","author":"Milanesi A.","year":"2000"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzt073"},{"key":"e_1_2_10_9_1","volume-title":"Diabetes in America 2023","author":"Hwang J. 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