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
...Diagnosis and...
...65 years and older without known diabetes, Endo...
...ged 65 years and older without know...
...ients aged 65 years and older who have predia...
...e 1. ADA Criteria for PrediabetesaHavi...
Assessment
...Assessment
...Overall Health Assessment o...
...s aged 65 and older with diabetes, w...
...aged 65 years and older with diabetes, ES sugg...
In patients aged 65 years and older w...
...inical Care of Older PeopleHaving trouble...
...ceptual Framework for Considering Overall Health a...
...e 4. Tools to Detect Frailty Having troubl...
...y Employed Measures to Screen for Physical Imp...
Treatment
...Treatment
...Role of the Endocri...
...ged 65 years and older with newly diagno...
In patients aged 65 years and older with d...
...Treatment of Hyperglycemia...
...Sett...
...aged 65 years and older with diabetes,...
...Assessing Glycemia...
...n patients aged 65 years and older w...
...Lifestyle Interv...
...patients aged 65 years and older with diabete...
...atients aged 65 years and older with diab...
...65 years and older with diabetes and...
...d 65 years and older with diabetes who...
...Drug...
...patients aged 65 years and older with...
...65 years and older with diabetes who hav...
...Treating Complicatio...
Hyper...
...patients aged 65 to 85 years with d...
...aged 65 years and older with diabetes and hypert...
...Hyperlipidemia...
...ed 65 years and older with diabetes, ES...
...ed 65 years and older with diabetes, ES recommend...
...aged 65 years and older with diabe...
...aged 65 years and older with diabetes and fastin...
...Congestive He...
...aged 65 years and older who have diabetes and...
...ients aged 65 years and older who have diabetes...
...Ath...
...tients aged 65 years and older with...
...Eye Complication...
...patients aged 65 years and older with diabetes, E...
...Neuropathy, Falls, an...
...ed 65 years and older with diabetes an...
...aged 65 years and older with diabetes...
...d 65 years and older with diabetes and p...
...Chronic Kidn...
...n patients aged 65 years and older with dia...
...ed 65 years and older with diabetes who are in Gro...
...s aged 65 years and older with diabetes and d...
.... Medications Used to Treat Hyperglycemia and S...
...Management...
...atients aged 65 years and over with diabetes i...
In patients aged 65 years and older with diabetes...
...aged 65 years and older without diagnosed di...