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
...iagnosis and Preventi...
...n patients aged 65 years and older without known...
...aged 65 years and older without known diabetes...
...n patients aged 65 years and older who have pre...
...riteria for PrediabetesaHaving trouble view...
Assessment
...ssessment...
...alth Assessment of Older Patients With Di...
...aged 65 and older with diabetes, we...
In patients aged 65 years and older with diabetes,...
In patients aged 65 years and older wi...
...ble 2. Clinical Care of Older Peopl...
...onceptual Framework for Considering Overa...
.... Tools to Detect Frailty Having...
...mmonly Employed Measures to Screen for Physical I...
Treatment
...reatme...
...docrinologist and Diabetes Care Speci...
...atients aged 65 years and older with newl...
...atients aged 65 years and older wi...
...reatment of Hyperglycemia...
...ng Glycemic Targets and Goals...
...d 65 years and older with diabetes, ES recom...
...sessing Glycemia
...patients aged 65 years and older with d...
...yle Interventions...
...tients aged 65 years and older with...
...patients aged 65 years and older wi...
...aged 65 years and older with diabetes and frailty...
...tients aged 65 years and older with dia...
...ug Therapy for Hyperglyc...
...65 years and older with diabetes, ES recomme...
...nts aged 65 years and older with d...
...mplications of Diabetes...
...pertension
...aged 65 to 85 years with diabetes, ES recommen...
...atients aged 65 years and older with diabetes...
...erlipidemia...
...ents aged 65 years and older with diabetes, ES rec...
In patients aged 65 years and older with diabetes,...
...ed 65 years and older with diabetes...
...65 years and older with diabetes and fasti...
...gestive Heart Failur...
In patients aged 65 years and older who have...
...ged 65 years and older who have diabetes a...
Atheroscler...
...ents aged 65 years and older with diabet...
Eye Complications
...ents aged 65 years and older with diabet...
...europathy, Falls, and Lower Extremi...
...s aged 65 years and older with diabetes and advanc...
...d 65 years and older with diabetes and periph...
...atients aged 65 years and older with diabete...
...ronic Kidney Disease
...tients aged 65 years and older with diabet...
...atients aged 65 years and older with di...
...ed 65 years and older with diabetes and d...
...6. Medications Used to Treat Hypergly...
...nt of Diabetes Away From Home – in Hospitals and...
...aged 65 years and over with diabetes in hospitals...
...ents aged 65 years and older with diabet...
...nts aged 65 years and older without di...