{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T12:10:19Z","timestamp":1787659819841,"version":"build-2736575974"},"reference-count":35,"publisher":"Korean Association of Internal Medicine","issue":"6","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007687","name":"Korean Diabetes Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007687","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Patient-Centered Clinical Research Coordinating Center"},{"DOI":"10.13039\/501100003625","name":"Ministry of Health and Welfare","doi-asserted-by":"publisher","award":["RS-2020-KH095186"],"award-info":[{"award-number":["RS-2020-KH095186"]}],"id":[{"id":"10.13039\/501100003625","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"publisher","award":["2022ER110300"],"award-info":[{"award-number":["2022ER110300"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003052","name":"Ministry of Trade, Industry and Energy","doi-asserted-by":"publisher","award":["20018143"],"award-info":[{"award-number":["20018143"]}],"id":[{"id":"10.13039\/501100003052","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["kjim.org"],"crossmark-restriction":true},"short-container-title":["Korean J Intern Med"],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:p>Background\/Aims: The prevalence of diabetes mellitus (DM) is increasing worldwide owing to aging. This nationwide study aimed to investigate the prevalence of DM and its management status among elderly Koreans.Methods: We analyzed data from the Korea National Health and Nutrition Examination Survey (2019\u20132021) to assess the prevalence of DM, awareness, treatment rates, and glycemic control status among elderly Koreans aged \u2265 65 years.Results: The prevalence of DM increased significantly from 2019 to 2021, reaching 30.9% among elderly Koreans by 2021. Women were older than men (73.7 \u00b1 5.0 vs. 72.7 \u00b1 4.9 years, p &lt; 0.001) and had higher BMI than men (24.5 \u00b1 3.0 vs. 25.1 \u00b1 3.6 kg\/m2, p &lt; 0.001). The waist circumference was 91.5 \u00b1 8.8 cm in men and 88.8 \u00b1 9.2 cm in women (p &lt; 0.005). The prevalence of obesity among patients with DM was 44.5%, significantly higher in women (47.4%) than men (41.2%; p = 0.003). Women also had higher rates of hypertension and hypercholesterolemia than men (hypertension: 74.0% vs. 66.5%, p &lt; 0.005; hypercholesterolemia: 53.0% vs. 38.5%, p &lt; 0.001). Women exhibited higher awareness rates of DM compared to men. Awareness and treatment rates were higher in older individuals compared to those aged 30\u201364 years. Regarding glycemic control, the target achievement rate was 61.0% for HbA1c &lt; 7.0% in the total age group, with nearly 27.6% achieving strict control (HbA1c &lt; 6.5%).Conclusions: Our study underscores the rising DM prevalence among elderly Koreans and emphasizes the need for age-tailored management approaches to optimize care.<\/jats:p>","DOI":"10.3904\/kjim.2024.390","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T08:13:10Z","timestamp":1761898390000},"page":"1017-1028","update-policy":"https:\/\/doi.org\/10.3904\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comprehensive approaches to diabetes in the elderly: adapting to evolving trends"],"prefix":"10.3904","volume":"40","author":[{"given":"Jeongmin","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwang Joon","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang Sun","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-ho","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyeong Hye","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee-Won","family":"Jung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bong-Soo","family":"Cha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7002-7300","authenticated-orcid":true,"given":"Hun-Sung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0773-5443","authenticated-orcid":true,"given":"Chang Oh","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2270","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-023-01468-2"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.2337\/diaspect.19.4.221"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.2147\/dmso.s305919"},{"key":"ref4","first-page":"203","volume-title":"Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021","year":"2023"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2019-00198"},{"key":"ref6","first-page":"S216","volume-title":"Older adults: standards of care in diabetes-2023","author":"ElSayed","year":"2023"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108078"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.4235\/agmr.21.0063"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3390\/nu12113367"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2022.101389"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1038\/s41392-023-01400-z"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2021025"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3961\/jpmph.18.290"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2022.0106"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-14349-w"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2022.007"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2023.0041"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2011.35.6.561"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.7570\/jomes21022"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2023.0282"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-023-05891-x"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1038\/s41574-020-00431-8"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1210\/er.2015-1137"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-019-05040-3"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/5406128"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1305304"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0288797"},{"key":"ref28","first-page":"452","volume-title":"Intensive glucose-lowering and the risk of vascular events and premature death in patients with decreased kidney function: the ADVANCE trial","author":"Ohkuma","year":"2020"},{"key":"ref29","first-page":"1329","volume-title":"Glycemic control, complications, and death in older diabetic patients: the diabetes and aging study","author":"Huang","year":"2011"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(09)61969-3"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.18632\/aging.103358"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0198343"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.12997\/jla.2022.11.2.103"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2019.34.e28"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1097\/cm9.0000000000001674"}],"container-title":["The Korean Journal of Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/kjim.org\/upload\/kjim-2024-390.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjim.org\/journal\/view.php?doi=10.3904\/kjim.2024.390","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjim.org\/upload\/kjim-2024-390.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T06:54:09Z","timestamp":1762757649000},"score":1,"resource":{"primary":{"URL":"http:\/\/kjim.org\/journal\/view.php?doi=10.3904\/kjim.2024.390"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,1]]},"references-count":35,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"URL":"https:\/\/doi.org\/10.3904\/kjim.2024.390","relation":{},"ISSN":["1226-3303","2005-6648"],"issn-type":[{"value":"1226-3303","type":"print"},{"value":"2005-6648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,1]]},"assertion":[{"value":"2024-11-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-31","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}