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Diabetes Care. 2017 Apr;40(4):444-452. doi: 10.2337/dc16-1732.

The Pathophysiology of Hyperglycemia in Older Adults: Clinical Considerations.

Author information

1
Geriatric Research Education and Clinical Center, VA Ann Arbor Healthcare System, Ann Arbor, MI pearllee@med.umich.edu jhalter@med.umich.edu.
2
Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
3
Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI pearllee@med.umich.edu jhalter@med.umich.edu.

Abstract

Nearly a quarter of older adults in the U.S. have type 2 diabetes, and this population is continuing to increase with the aging of the population. Older adults are at high risk for the development of type 2 diabetes due to the combined effects of genetic, lifestyle, and aging influences. The usual defects contributing to type 2 diabetes are further complicated by the natural physiological changes associated with aging as well as the comorbidities and functional impairments that are often present in older people. This paper reviews the pathophysiology of type 2 diabetes among older adults and the implications for hyperglycemia management in this population.

PMID:
28325795
DOI:
10.2337/dc16-1732
[Indexed for MEDLINE]

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