{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T05:45:09Z","timestamp":1782711909897,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["20K18845"],"award-info":[{"award-number":["20K18845"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We examined the association of deviation from the glycated hemoglobin (HbA1c) target proposed in the Guidelines for the Treatment of Diabetes in Older Patients in Japan 2016 with the place of care and interval between HbA1c tests among older patients with diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included patients aged &gt;\u200965\u2009years receiving biweekly home medical care by physicians from four clinics in Tokyo and Kanagawa Prefecture for &gt;\u20092\u2009months with \u2265\u20092 HbA1c tests between November 14, 2016 and November 13, 2021. Among patients meeting the glycemic target according to the above guidelines at the beginning of the study period, we defined those who met the final glycemic target as the \u201cnon\u2010deviating group\u201d and those who missed this target as the \u201cdeviating group.\u201d Data were collected on place of care (home or nursing facility), intervals between HbA1c tests, number of oral medications, comorbidities, and activities of daily living (ADL). Multivariate logistic regression analysis was performed using deviation from the HbA1c target (=1) as the outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 1120 patients, we analyzed 834 whose first HbA1c value met the target. The non\u2010deviating group comprised 763 patients (91.5%), and the deviating group comprised 71 (8.5%). Deviations from the HbA1c target were more frequent\u00a0among patients who received home care (adjusted odds ratio [aOR]\u2009=\u20092.06, 95% confidence interval [CI]: 1.18\u20133.61). For\u00a0each day added to the interval between HbA1c tests, the aOR decreased by approximately 2% (aOR\u2009=\u20090.98, 95% CI: 0.98\u20130.99).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The place of care should be considered for older patients with diabetes receiving home medical care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70338","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T07:36:33Z","timestamp":1769067393000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Deviation From Glycated Hemoglobin (\n                    <scp>HbA1c<\/scp>\n                    ) Target in the Guidelines for the Treatment of Diabetes in Older Patients With Place of Care and Interval Between\n                    <scp>HbA1c<\/scp>\n                    Tests Among Older Patients Receiving Home Medical Care"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2648-2923","authenticated-orcid":false,"given":"Mari","family":"Fukuhara","sequence":"first","affiliation":[{"name":"Department of R&amp;D Innovation for Home Care Medicine Institute of Science Tokyo Tokyo Japan"},{"name":"Department of General Medicine Institute of Science Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuma","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of R&amp;D Innovation for Home Care Medicine Institute of Science Tokyo Tokyo Japan"},{"name":"Department of General Medicine Institute of Science Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5400-3958","authenticated-orcid":false,"given":"Yoshiyuki","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Clinical Dental Research Promotion Unit, Faculty of Dentistry, Institute of Science Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Fukuhara","sequence":"additional","affiliation":[{"name":"Department of General Medicine Institute of Science Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suguru","family":"Mabuchi","sequence":"additional","affiliation":[{"name":"Department of General Medicine Institute of Science Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazue","family":"Ota","sequence":"additional","affiliation":[{"name":"Heiikukai Medical Corporation Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanaga","family":"Yamawaki","sequence":"additional","affiliation":[{"name":"Department of Medical Education Research and Development Institute of Science Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayoshi","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of General Medicine Institute of Science Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Patient Survey","author":"Ministry of Health, Labour and Welfare of Japan","year":"2023"},{"key":"e_1_2_12_3_1","volume-title":"Guidelines for the Treatment of Diabetes in the Elderly","author":"Japan Geriatrics Society & Japan Diabetes Society","year":"2023"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-2324"},{"issue":"5","key":"e_1_2_12_5_1","first-page":"350","article-title":"Diabetes Treatment in Home Medical Care","volume":"60","author":"Hirahara S.","year":"2017","journal-title":"Journal of the Japan Diabetes Society"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14979"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1932296817710477"},{"issue":"1","key":"e_1_2_12_8_1","first-page":"10","article-title":"Continuous Pharmacological Management and Support for Elderly Diabetic Patients in Home Care Settings","volume":"8","author":"Shinohara K.","year":"2021","journal-title":"Japanese Journal of Community Medicine and Pharmaceutical Sciences"},{"issue":"5","key":"e_1_2_12_9_1","first-page":"427","article-title":"Challenges in Supporting Home\u2010Based Insulin Self\u2010Injection and Self\u2010Monitoring of Blood Glucose Among Elderly Diabetic Patients","volume":"64","author":"Koyano H.","year":"2019","journal-title":"Japanese Journal of Geriatrics"},{"key":"e_1_2_12_10_1","volume-title":"Survey of Institutions and Establishments for Long\u2010Term Care","author":"Ministry of Health, Labour and Welfare of Japan","year":"2010"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2022-003262"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2020-012026"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1515\/cclm-2018-0503"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-0297"},{"issue":"3","key":"e_1_2_12_15_1","first-page":"269","article-title":"Frequency of Glycated Hemoglobin Monitoring Was Inversely Associated With Glycemic Control of Patients With Type 2 Diabetes Mellitus","volume":"35","author":"Fu C.","year":"2012","journal-title":"Journal of Endocrinological Investigation"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-019-0372-5"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-023-01421-5"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70338","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ggi.70338","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70338","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T05:05:48Z","timestamp":1782709548000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.70338"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ggi.70338"],"URL":"https:\/\/doi.org\/10.1111\/ggi.70338","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-09-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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