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
...nosis and Prevention
...n patients aged 65 years and older witho...
...ents aged 65 years and older without...
...ents aged 65 years and older who have prediabetes,...
...e 1. ADA Criteria for Prediabetesa...
Assessment
Assessment
Overall Health Assessment of Older Patients...
...ged 65 and older with diabetes, we advis...
...d 65 years and older with diabetes, ES suggest...
...patients aged 65 years and older with...
...Clinical Care of Older PeopleHaving...
...le 3. Conceptual Framework for Cons...
...Tools to Detect Frailty Having trouble viewi...
...ly Employed Measures to Screen for...
Treatment
...reatment...
...Endocrinologist and Diabetes Care Sp...
...65 years and older with newly diagnosed...
...ed 65 years and older with diabetes, an end...
...atment of Hyperglycemia...
...Glycemic Targets and Goal...
...ed 65 years and older with diabetes, E...
...ssing Glycemia...
...ts aged 65 years and older with diabetes who ar...
...estyle Interventions...
...nts aged 65 years and older with di...
...patients aged 65 years and older with d...
...aged 65 years and older with diabetes and f...
...d 65 years and older with diabetes who cannot...
...rapy for Hyperglycemia...
In patients aged 65 years and older with d...
...patients aged 65 years and older wi...
...mplications of Diabetes...
...ertensio...
In patients aged 65 to 85 years with diabetes, ES...
...patients aged 65 years and older with di...
Hyperlipidemia
...n patients aged 65 years and older with diab...
...aged 65 years and older with diabetes, ES re...
...patients aged 65 years and older w...
In patients aged 65 years and older with d...
Congestive Heart Failur...
...65 years and older who have diabetes and CH...
...patients aged 65 years and older who have di...
...osclerosis...
...d 65 years and older with diabetes and a his...
...Complications...
...n patients aged 65 years and older with dia...
...uropathy, Falls, and Lower Extremi...
...d 65 years and older with diabetes an...
...n patients aged 65 years and older...
...ts aged 65 years and older with diab...
Chronic Kidney Disea...
...ents aged 65 years and older with d...
...s aged 65 years and older with diabetes who a...
...patients aged 65 years and older with dia...
...e 6. Medications Used to Treat Hyperglycem...
Management of Diabetes Away From Home – in Hospi...
...65 years and over with diabetes in hospitals or...
...ents aged 65 years and older with dia...
...tients aged 65 years and older without diagnosed d...