Diabetes mellitus in individuals with spinal cord injury or disorder

Sherri L. LaVela, Frances M. Weaver, Barry Goldstein, Ke Chen, Scott Miskevics, Suparna Rajan, David Gater

Research output: Contribution to journalArticle

62 Citations (Scopus)

Abstract

Background/Objective: To examine diabetes prevalence, care, complications, and characteristics of veterans with a spinal cord injury or disorder (SCI/D). Methods: A national survey of veterans with an SCI/D was conducted using Behavioral Risk Factor Surveillance System (BRFSS) survey questions. Data were compared with national Centers for Disease Control and Prevention BRFSS data for veteran and nonveteran general populations. Results: Overall prevalence of diabetes in individuals with an SCI/D was 20% (3 times higher than in the general population). Veterans with an SCI/D and veterans, in general, had a higher prevalence of diabetes across all age groups; however, those with an SCI/D who were 45 to 59 years of age had a higher prevalence than other veterans. One fourth of the persons with an SCI/D and diabetes reported that diabetes affected their eyes or that they had retinopathy (25%), and 41% had foot sores that took more than 4 weeks to heal. More veterans, both with (63%) and without an SCI/D (60%), took a class on how to manage their diabetes than the general population (50%). Veterans with an SCI/D and diabetes were more likely to report other chronic conditions and poorer quality of life than those without diabetes. Conclusions: Diabetes prevalence is greater among veterans with an SCI/D compared with the civilian population, but is similar to that of other veterans, although it may occur at a younger age in those with an SCI/D. Veterans with an SCI/D and diabetes reported more comorbidities, more slow-healing foot sores, and poorer quality of life than those without diabetes. Efforts to prevent diabetes and to provide early intervention in persons with SCI/D are needed.

Original languageEnglish (US)
Pages (from-to)387-395
Number of pages9
JournalJournal of Spinal Cord Medicine
Volume29
Issue number4
DOIs
StatePublished - Jan 1 2006

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Spinal Cord Diseases
Veterans
Spinal Cord Injuries
Diabetes Mellitus
Behavioral Risk Factor Surveillance System
Population
Foot
Quality of Life
Centers for Disease Control and Prevention (U.S.)
Comorbidity
Age Groups

All Science Journal Classification (ASJC) codes

  • Clinical Neurology

Cite this

LaVela, S. L., Weaver, F. M., Goldstein, B., Chen, K., Miskevics, S., Rajan, S., & Gater, D. (2006). Diabetes mellitus in individuals with spinal cord injury or disorder. Journal of Spinal Cord Medicine, 29(4), 387-395. https://doi.org/10.1080/10790268.2006.11753887
LaVela, Sherri L. ; Weaver, Frances M. ; Goldstein, Barry ; Chen, Ke ; Miskevics, Scott ; Rajan, Suparna ; Gater, David. / Diabetes mellitus in individuals with spinal cord injury or disorder. In: Journal of Spinal Cord Medicine. 2006 ; Vol. 29, No. 4. pp. 387-395.
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LaVela, SL, Weaver, FM, Goldstein, B, Chen, K, Miskevics, S, Rajan, S & Gater, D 2006, 'Diabetes mellitus in individuals with spinal cord injury or disorder', Journal of Spinal Cord Medicine, vol. 29, no. 4, pp. 387-395. https://doi.org/10.1080/10790268.2006.11753887

Diabetes mellitus in individuals with spinal cord injury or disorder. / LaVela, Sherri L.; Weaver, Frances M.; Goldstein, Barry; Chen, Ke; Miskevics, Scott; Rajan, Suparna; Gater, David.

In: Journal of Spinal Cord Medicine, Vol. 29, No. 4, 01.01.2006, p. 387-395.

Research output: Contribution to journalArticle

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LaVela SL, Weaver FM, Goldstein B, Chen K, Miskevics S, Rajan S et al. Diabetes mellitus in individuals with spinal cord injury or disorder. Journal of Spinal Cord Medicine. 2006 Jan 1;29(4):387-395. https://doi.org/10.1080/10790268.2006.11753887