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 Preventi...
...ents aged 65 years and older without known diab...
...aged 65 years and older without known...
...aged 65 years and older who have...
...A Criteria for PrediabetesaHaving tr...
Assessment
...sessmen...
...th Assessment of Older Patients Wi...
...d 65 and older with diabetes, we advise assessi...
...d 65 years and older with diabetes, ES s...
...patients aged 65 years and older with dia...
...al Care of Older PeopleHaving troubl...
...tual Framework for Considering Overall He...
...le 4. Tools to Detect Frailty Having tro...
Table 5. Commonly Employed Measure...
Treatment
Treatmen...
...of the Endocrinologist and Diabetes Care...
...ents aged 65 years and older with newly diagnosed...
...ents aged 65 years and older with dia...
...t of Hyperglycemia...
...tting Glycemic Targets and Goals
...patients aged 65 years and older with diabetes,...
...ssing Glycemia...
...ents aged 65 years and older with dia...
Lifestyle Intervent...
...s aged 65 years and older with diab...
...patients aged 65 years and older wit...
...ients aged 65 years and older with diabetes a...
...nts aged 65 years and older with diabetes who cann...
...g Therapy for Hyperg...
...atients aged 65 years and older with dia...
...d 65 years and older with diabetes who have not a...
...ing Complications of Diab...
...ypertension
...patients aged 65 to 85 years with diabetes, ES re...
...ents aged 65 years and older with d...
Hyperlipidemi...
...n patients aged 65 years and older...
...nts aged 65 years and older with diabet...
...patients aged 65 years and older with dia...
...atients aged 65 years and older with d...
...ve Heart Failure...
In patients aged 65 years and older who have di...
...65 years and older who have diabe...
...therosclerosis...
...atients aged 65 years and older with...
...Complications...
...tients aged 65 years and older with d...
...athy, Falls, and Lower Extremity Pr...
...patients aged 65 years and older with diabet...
...aged 65 years and older with diabetes and peri...
...s aged 65 years and older with dia...
...onic Kidney Disease...
...ients aged 65 years and older with diabet...
...aged 65 years and older with diabetes who are...
...aged 65 years and older with diabetes a...
...le 6. Medications Used to Treat Hypergl...
...of Diabetes Away From Home – in Hospitals and...
...ents aged 65 years and over with diabetes...
...ged 65 years and older with diabetes and a t...
...aged 65 years and older without diagnosed...