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
...sis and Prevention...
In patients aged 65 years and older without known...
...65 years and older without known diabetes who...
...ients aged 65 years and older who have pr...
...ble 1. ADA Criteria for PrediabetesaHavi...
Assessment
...sessment...
...Health Assessment of Older Patients Wit...
...patients aged 65 and older with diabete...
...aged 65 years and older with diabetes, ES sug...
...ients aged 65 years and older with di...
.... Clinical Care of Older PeopleHaving...
...ble 3. Conceptual Framework for Considering Ove...
...ble 4. Tools to Detect Frailty Havi...
...5. Commonly Employed Measures to Screen...
Treatment
...eatment...
...crinologist and Diabetes Care Special...
...nts aged 65 years and older with newly diagnosed...
...ts aged 65 years and older with diabetes, an end...
...atment of Hyperglycemia
...Glycemic Targets and Goa...
In patients aged 65 years and older with diabete...
...ssessing Glyce...
...d 65 years and older with diabetes who are treat...
...le Interventions
...d 65 years and older with diabetes...
...ents aged 65 years and older with diabetes, ES rec...
...tients aged 65 years and older with diabetes and f...
...65 years and older with diabetes who cannot...
...Therapy for Hyperglycemia...
...atients aged 65 years and older with diabe...
...tients aged 65 years and older with diabetes...
...mplications of Diabetes...
...ypertensio...
...ts aged 65 to 85 years with diabete...
...d 65 years and older with diabetes and hyperte...
...yperlipidemi...
...patients aged 65 years and older with diab...
In patients aged 65 years and older wit...
...tients aged 65 years and older with diabet...
...s aged 65 years and older with diabetes an...
...tive Heart Failur...
...65 years and older who have diabetes and C...
...65 years and older who have diabet...
...rosclerosis...
...patients aged 65 years and older with...
...ye Complication...
...ged 65 years and older with diabetes,...
...alls, and Lower Extremity Problems...
...patients aged 65 years and older with...
...tients aged 65 years and older with diabetes...
...aged 65 years and older with diabetes and perip...
...ronic Kidney Di...
...ed 65 years and older with diabetes who are not...
...d 65 years and older with diabetes...
...tients aged 65 years and older with d...
...ations Used to Treat Hyperglycemia and Speci...
...nt of Diabetes Away From Home – in Hospi...
...65 years and over with diabetes in hospi...
...d 65 years and older with diabetes and a terminal...
...patients aged 65 years and older without diagn...