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
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...ged 65 years and older without known dia...
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...A Criteria for PrediabetesaHaving trou...
Assessment
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...Health Assessment of Older Patients With...
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...ents aged 65 years and older with diabetes...
...nts aged 65 years and older with diabetes and a...
Table 2. Clinical Care of Older PeopleHaving...
...tual Framework for Considering Overall Health and...
...to Detect Frailty Having trouble viewing ta...
...nly Employed Measures to Screen for Physica...
Treatment
...eatment
Role of the Endocrinologist and Diabetes Care Spec...
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...n patients aged 65 years and older w...
...ment of Hyperglycemia...
...ting Glycemic Targets a...
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Assessing Glyc...
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...yle Interventions
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...ug Therapy for Hyperglyce...
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...ng Complications of Diab...
...ypertens...
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...perlipidem...
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Congestive Heart Failu...
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...n patients aged 65 years and older who ha...
Atheroscleros...
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...omplications...
In patients aged 65 years and older with diabete...
...athy, Falls, and Lower Extremity P...
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...ic Kidney Disease
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...ble 6. Medications Used to Treat Hyperg...
...t of Diabetes Away From Home – in Hospitals...
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