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Med Clin North Am. 2015 Mar;99(2):351-77. doi: 10.1016/j.mcna.2014.11.008. Epub 2014 Dec 30.

Management of diabetes in the elderly.

Author information

1
Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA.
2
Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. Electronic address: weinstor@upstate.edu.

Abstract

Management of diabetes in the elderly necessitates careful consideration of concomitant geriatric syndromes and comorbid conditions that increase the risk of complications, including severe hypoglycemia. Whereas healthy older adults can use therapeutic approaches recommended for their younger counterparts, treatment plans for frail elderly patients need to be simplified and A1c and blood pressure goals relaxed with the development of impairments in function, cognition, vision, and dexterity. The goals of diabetes management in the elderly should be to maintain quality of life and minimize symptomatic hyperglycemia and drug side effects, including hypoglycemia.

KEYWORDS:

Diabetes mellitus; Frailty; Geriatric; Hypertension; Hypoglycemia; Insulin

PMID:
25700588
DOI:
10.1016/j.mcna.2014.11.008
[Indexed for MEDLINE]

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