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...
...ed 65 years and older without known di...
...s aged 65 years and older without known diabe...
...nts aged 65 years and older who have prediabetes,...
...ADA Criteria for PrediabetesaHavin...
Assessment
Assessme...
...rall Health Assessment of Older Patients Wit...
In patients aged 65 and older with diabe...
...ged 65 years and older with diabetes, ES su...
In patients aged 65 years and older wit...
...nical Care of Older PeopleHaving tro...
...tual Framework for Considering Overall...
...ools to Detect Frailty Having tro...
...only Employed Measures to Screen for Phys...
Treatment
Treatmen...
...ole of the Endocrinologist and Dia...
...s aged 65 years and older with newly diagnosed...
...ts aged 65 years and older with diabetes, an en...
...tment of Hyperglycemia
...cemic Targets and Goals
...tients aged 65 years and older with d...
Assessing Gly...
...ents aged 65 years and older with diabetes who...
...yle Interventions
...patients aged 65 years and older with...
...s aged 65 years and older with diabetes, ES...
...aged 65 years and older with diabetes and frai...
...ed 65 years and older with diabetes who...
...erapy for Hyperglycemia...
...ents aged 65 years and older with diabetes...
...patients aged 65 years and older with diab...
...g Complications of Diabet...
...ertension...
...ts aged 65 to 85 years with diabetes, ES recom...
...ed 65 years and older with diabetes and hype...
...yperlipidemia...
...aged 65 years and older with diabetes,...
...patients aged 65 years and older with di...
...ts aged 65 years and older with diabetes, ES sugg...
...s aged 65 years and older with diabetes...
...stive Heart Failure...
...ed 65 years and older who have diabetes...
...ts aged 65 years and older who have diabetes and...
...herosclerosis...
...aged 65 years and older with diabetes and a histor...
...ye Complicatio...
...d 65 years and older with diabetes, ES...
...opathy, Falls, and Lower Extremity P...
...patients aged 65 years and older wi...
...patients aged 65 years and older with d...
...s aged 65 years and older with diabe...
...nic Kidney Disease...
...patients aged 65 years and older with diabetes...
...ients aged 65 years and older with dia...
...aged 65 years and older with diabetes and decreas...
...le 6. Medications Used to Treat Hyperglyc...
...abetes Away From Home – in Hospitals and...
...tients aged 65 years and over with diabetes in hos...
...ts aged 65 years and older with diabetes a...
...d 65 years and older without diagnosed dia...