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[Diabetes mellitus in the elderly].

E A van der Veen1

  • 1Academisch Ziekenhuis Vrije Universiteit, Amsterdam.

Tijdschrift Voor Gerontologie En Geriatrie
|February 1, 1990
PubMed
Summary

Type II diabetes mellitus is common in older adults, often requiring medication. Effective management involves lifestyle changes, oral agents, or insulin, with regular monitoring and foot care crucial for better health outcomes.

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Area of Science:

  • Geriatric Medicine
  • Endocrinology
  • Public Health

Context:

  • High prevalence of Type II diabetes mellitus in individuals over 64.
  • Significant percentage (11%) exhibit clinically relevant glucose metabolism disturbances.
  • Challenges in achieving initial therapeutic goals like weight loss.

Purpose:

  • To outline current management strategies for Type II diabetes in the elderly.
  • To emphasize the role of oral hypoglycaemic agents and insulin therapy.
  • To highlight the importance of regular monitoring and comprehensive care.

Summary:

  • Type II diabetes management in the elderly often necessitates oral hypoglycaemic agents or insulin.
  • Modern insulin delivery devices simplify treatment, improving patient adherence.
  • Regular monitoring of blood glucose (or HbA1c), blood pressure, and foot inspection is essential.
  • Standardized treatment guidelines are being developed to improve care quality.

Impact:

  • Improved metabolic control and reduced risk of diabetes-related complications in the elderly.
  • Enhanced patient quality of life through simplified treatment regimens.
  • Standardization of care promotes consistent and effective diabetes management nationwide.

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