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
...Diagnos...
...65 years and older without known diabete...
...n patients aged 65 years and older wi...
...aged 65 years and older who have prediabet...
...ADA Criteria for Prediabetesa Prediab...
Assessment
...Assessmen...
...Overall Hea...
...patients aged 65 and older with dia...
...65 years and older with diabetes, ES su...
...aged 65 years and older with diabe...
...e 2. Clinical Care of Older People Ge...
...nceptual Framework for Considering Overall...
...4. Tools to Detect Frailty A...
...e 5. Commonly Employed Measures to Screen for...
Treatment
...Treatment...
...Role of the Endocrinol...
...d 65 years and older with newly di...
...d 65 years and older with diabetes, an endoc...
...Tre...
...Setting Glycemic...
...ents aged 65 years and older with diabe...
...Assessing Glycemia...
...ed 65 years and older with diabetes who are treate...
...Lifestyle...
...nts aged 65 years and older with diabetes who ar...
...d 65 years and older with diabetes, ES recommends...
...nts aged 65 years and older with dia...
...n patients aged 65 years and older with diabete...
...Drug Therapy for H...
...atients aged 65 years and older with diab...
...s aged 65 years and older with diabetes who ha...
...Hyperte...
...nts aged 65 to 85 years with diabetes, ES...
...atients aged 65 years and older with dia...
...Hyperlipidemia...
...ents aged 65 years and older with diabete...
...s aged 65 years and older with diabetes, ES...
...ged 65 years and older with diabetes, ES sug...
...tients aged 65 years and older with d...
...Congestive Heart Fail...
...ts aged 65 years and older who have diabetes an...
...ents aged 65 years and older who have diabetes and...
...Atherosclerosis...
...d 65 years and older with diabetes and a...
...Eye Compl...
...65 years and older with diabetes, ES r...
...Neuropathy, Falls,...
...patients aged 65 years and older w...
...aged 65 years and older with diabetes and pe...
...atients aged 65 years and older with...
...Chronic Kidne...
...d 65 years and older with diabetes who are n...
...ts aged 65 years and older with diabetes...
...ed 65 years and older with diabetes and dec...
...dications Used to Treat Hyperglyce...
...Manageme...
...patients aged 65 years and over with d...
In patients aged 65 years and older with diabete...
...s aged 65 years and older without diagnosed diabe...