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Preventing and managing diabetic complications in elderly patients
1Division of Geriatrics, Department of Medicine, Case Western Reserve University School of Medicine, USA.
Cleveland Clinic Journal of Medicine
|February 23, 2008
Summary
Elderly patients with diabetes face complications that complicate intensive glucose control. This review covers common issues like heart disease and kidney disease in older adults with diabetes.
Area of Science:
- Gerontology
- Endocrinology
- Diabetology
Background:
- Elderly individuals with diabetes mellitus often experience comorbidities.
- These health issues can impact the feasibility and safety of intensive glycemic management.
Purpose of the Study:
- To review common diabetes-related complications in the elderly.
- To discuss how these complications affect diabetes treatment strategies.
Main Methods:
- Literature review of studies focusing on diabetes complications in older adults.
- Synthesis of information on the interplay between comorbidities and glucose control.
Main Results:
- Coronary artery disease, retinopathy, neuropathy, and nephropathy are prevalent.
- Complications can necessitate adjustments to treatment goals for elderly diabetic patients.
Conclusions:
- Management of diabetes in the elderly requires careful consideration of age-related complications.
- Individualized treatment plans are essential to balance glycemic control with patient safety and quality of life.
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