Quality of Diabetes Care Among Older Adults in Germany—Results of the Study on Health of Older People 2022/2023 Compared With Previous National Health Surveys
Authors' conclusion
In Germany, most older adults with diabetes meet targets of non-smoking, non-obesity and BP control. Use of novel glucose-lowering medications with cardiorenal benefits is low.
Study context
- Population
- People aged ≥66 years with diabetes, German national Study on Health of Older People (Gesundheit65+) 2022/2023; trends in subgroup aged 66–79 years
- Participants
- 292 people
- Outcome
- Quality of diabetes care indicators: physical exercise, non-smoking, non-obesity, BP control, guideline-based use of statins, ACEI/ARB, GLP-1 RA/SGLT2i and aspirin
Methodological detailsnational health examination survey, trend analysis vs 1997–1999 and 2008–2010 surveys
- National health examination survey
- Trend analysis vs 1997–1999 and 2008–2010 surveys
Main finding
As reported in the abstract
Diabetes care indicators · 2022/2023
- Non-smokers
- 90.6%
- Non-obese
- 69.6%
- Blood pressure (BP) control achieved
- 74.2%
- Physical exercise
- 45.5%
- Statin use (overall)
- 65.7%
- ACEI/ARB use among those with hypertension
- 88.4%
- GLP-1 RA/SGLT2i use among those with CVD
- 36.8%
- Aspirin use among those with CVD
- 55.4%
Observational data: associations, not effects.
Further findings
Glucose-lowering medication use · 2022/2023
- Any antidiabetics
- 73.6%
- Mono-metformin therapy
- 24.3%
- Insulin (alone or in combination)
- 16.9%
- Other glucose-lowering medication
- 32.4%
Time trends, subgroup aged 66-79 years · 1997–1999, 2008–2010 to 2022/2023
- Decrease in insulin use and improvements in physical exercise, non-obesity, BP control and guideline-based medications
Original publication
Quality of Diabetes Care Among Older Adults in Germany—Results of the Study on Health of Older People 2022/2023 Compared With Previous National Health Surveys. Diabetes Obes Metab. Published 11 August 2026. doi:10.
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