Treatment of Diabetes in Older Adults
Key Points
Key Points
The prevalence of type 2 diabetes increases as individuals age and exaggerates the incidence of both microvascular and macrovascular complications.
Clinicians should perform regular screening for prediabetes and diabetes in the older population and implement interventions as indicated in this guideline.
Given the heterogeneity of the health status of older people with diabetes, the guideline emphasizes shared decision-making and provides a framework to assist health care providers to individualize treatment goals.
The problems that older individuals with diabetes face, in contrast to younger people with the disease, include sarcopenia, frailty and cognitive dysfunction. Such complications can lead to an increased risk of poor medication adherence, hypoglycemia (from certain medications), falls, and loss of independence in daily living activities.
The guideline presents evidence for the various effects of diabetes in the older patients and the relevant therapies for glycemic control, hyperlipidemia and hypertension.
Guideline recommendations also address common co-morbidities such as renal impairment, which affects the pharmacokinetics and pharmacodynamics of specific agents, and concomitant heart disease.
Diagnosis and Prevention
...agnosis and Preve...
...atients aged 65 years and older witho...
...ed 65 years and older without know...
In patients aged 65 years and older who...
...A Criteria for PrediabetesaHaving trouble viewin...
Assessment
Assessment
...Assessment of Older Patients With Diabetes...
...atients aged 65 and older with diabet...
...aged 65 years and older with diabe...
In patients aged 65 years and older...
...nical Care of Older PeopleHaving troubl...
...ble 3. Conceptual Framework for Consider...
...le 4. Tools to Detect Frailty Having...
.... Commonly Employed Measures to Screen for Physic...
Treatment
...eatment...
...Endocrinologist and Diabetes Care Spe...
...ients aged 65 years and older with newly di...
...atients aged 65 years and older with di...
...ment of Hyperglycem...
...Glycemic Targets and Goals
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...ssing Glycemi...
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...yle Interventions...
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...ients aged 65 years and older with d...
...perlipidemia...
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...65 years and older with diabetes, ES...
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...omplications...
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...ropathy, Falls, and Lower Extremity Problems
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...nic Kidney Disease...
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...dications Used to Treat Hyperglycemia and Spec...
...ent of Diabetes Away From Home – in Hospital...
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