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
...is and Prevention...
In patients aged 65 years and older...
...nts aged 65 years and older without known...
...nts aged 65 years and older who have p...
...ble 1. ADA Criteria for PrediabetesaHaving troubl...
Assessment
...ssessment
...ssessment of Older Patients With Di...
...patients aged 65 and older with diabetes, we ad...
...patients aged 65 years and older with d...
...ged 65 years and older with diabetes and...
...le 2. Clinical Care of Older PeopleHavi...
...ptual Framework for Considering Overall Health a...
...to Detect Frailty Having trouble viewin...
...mmonly Employed Measures to Screen for Physical Im...
Treatment
...eatment...
...the Endocrinologist and Diabetes Care Specialist...
...ged 65 years and older with newly...
In patients aged 65 years and older with dia...
...eatment of Hyperglyce...
...ng Glycemic Targets and Goals
...nts aged 65 years and older with diabetes, ES...
...ssing Glycemia...
...ts aged 65 years and older with diabetes...
Lifestyle Interv...
...tients aged 65 years and older with dia...
...patients aged 65 years and older with...
...ed 65 years and older with diabetes and frailt...
...tients aged 65 years and older with...
...apy for Hyperglycemia...
...s aged 65 years and older with diabetes,...
...patients aged 65 years and older with diab...
...g Complications of Diabetes...
...ertension
...ts aged 65 to 85 years with diabetes...
...s aged 65 years and older with diabetes and...
...erlipidemia
...n patients aged 65 years and older with diabet...
...ients aged 65 years and older with di...
...nts aged 65 years and older with diabet...
...65 years and older with diabetes and fasting trig...
...ive Heart Failure...
...65 years and older who have diabetes and CHF,...
...s aged 65 years and older who have diabetes an...
...rosclerosi...
...nts aged 65 years and older with diabete...
Eye Complicat...
...d 65 years and older with diabetes, ES reco...
...uropathy, Falls, and Lower Extrem...
...aged 65 years and older with diabetes an...
...ients aged 65 years and older with diabetes...
...65 years and older with diabetes...
...nic Kidney Disea...
...aged 65 years and older with diabetes who are not...
...ts aged 65 years and older with diabetes who ar...
...ts aged 65 years and older with diabet...
.... Medications Used to Treat Hyperglycemia...
...t of Diabetes Away From Home – in Hospi...
...d 65 years and over with diabetes in hospit...
...aged 65 years and older with diabet...
In patients aged 65 years and older without...