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Diabetes mellitus in elderly
Farida Chentli1, Said Azzoug1, Souad Mahgoun1
1Department of Endocrine and Metabolic Diseases, Bab El Oued Teaching Hospital, Algiers, Algeria.
Indian Journal of Endocrinology and Metabolism
|December 23, 2015
Summary
Diabetes mellitus (DM) is a growing global health issue, particularly in older adults. Management requires individualized care, especially for frail individuals with cognitive impairments, to prevent complications.
Area of Science:
- Gerontology
- Endocrinology
- Public Health
Background:
- Diabetes mellitus (DM) prevalence is increasing globally due to longer life expectancy and lifestyle changes.
- Older adults (≥60-65 years) face a significant public health challenge with high rates of diabetes and dysglycemia.
- DM complications and comorbidities are more prevalent in elderly individuals, including cardiovascular diseases, visual, and cognitive impairments like Alzheimer's disease.
Purpose of the Study:
- To highlight the growing problem of diabetes mellitus in the elderly population worldwide.
- To discuss the unique challenges and complications associated with diabetes in older adults.
- To emphasize the need for individualized treatment approaches for elderly diabetic patients, particularly the frail.
Main Methods:
- Literature review and synthesis of existing research on diabetes in older adults.
- Analysis of epidemiological data and clinical observations regarding DM prevalence and complications in the elderly.
- Categorization of elderly diabetic patients into 'fit' and 'frail' groups based on health status and cognitive function.
Main Results:
- Older adults experience a higher burden of DM complications, including cardiovascular disease, visual impairment, and cognitive decline (e.g., Alzheimer's disease).
- Shared risk factors between DM and Alzheimer's disease, such as insulin resistance, physical inactivity, and eating disorders, are noted.
- Elderly patients with DM are categorized into fit individuals and frail individuals, necessitating tailored management strategies.
Conclusions:
- Diabetes management in the elderly requires careful consideration of comorbidities, cognitive status, and polypharmacy.
- A 'go slow and individualize' approach is crucial for frail elderly patients to prevent adverse events like iatrogenic hypoglycemia.
- Individualized treatment plans, focusing on physical activity, diet, and medication, are essential for optimizing care in older adults with diabetes.
Keywords:
Cognitive impairmentcomplicationsdiabetes mellituselderlyinsulin resistancemicro-nutrimentstreatment individualizationMore Related Videos
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