Nursing home residents in the United Kingdom have an average of four comorbid conditions in addition to diabetes and have significant care needs and deficiencies .
Elderly people living at home or in nursing homes in the United States receive inadequate medical care,
and the care of elderly people with diabetes in extended-care facilities does not meet American Diabetes Association (ADA) guidelines .
In addition, care of elderly people is inadequate in the Nordic countries.
For example, less than 20% of the people with type 2 diabetes in Norway achieve the recommended treatment goals in primary care ,
and diabetes care in Sweden ’ s home nursing services is inadequately documented.