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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Diabetes in the Elderly.

Sanjay Kalra1, Suresh K Sharma2

  • 1Department of Endocrinology, Bharti Hospital, Karnal, India. brideknl@gmail.com.

Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders
|February 21, 2018
PubMed
Summary
This summary is machine-generated.

Managing diabetes in older adults requires special attention to their unique needs, focusing on preventing geriatric syndromes, hypoglycemia, and neurocognitive issues for optimal care.

Keywords:
Diabetes educationDiabetes nursingEnd of lifeGeriatricGeriatric syndromesHypoglycemiaNeurocognitive dysfunction

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Area of Science:

  • Gerontology
  • Endocrinology
  • Diabetology

Background:

  • Older adults represent a heterogeneous population with unique biomedical, psychological, and social characteristics.
  • Their distinct needs necessitate tailored approaches to diabetes care compared to younger individuals.
  • Effective management requires consideration of age-related complexities.

Purpose of the Study:

  • To provide a practical review of diabetes assessment, nursing care, and medical treatment in the elderly.
  • To highlight key challenges in managing diabetes in older adults.
  • To propose solutions for common clinical problems encountered in this demographic.

Main Methods:

  • This is a review article, synthesizing current knowledge and clinical practices.
  • It focuses on a practical approach to assessment and management strategies.
  • Evidence-based recommendations are discussed for clinical application.

Main Results:

  • Diabetes management in the elderly must prioritize the prevention and limitation of geriatric syndromes.
  • Hypoglycemia (low blood glucose) and neurocognitive dysfunction are critical concerns.
  • Specialized care plans are essential for effective diabetes control in older persons.

Conclusions:

  • Tailored diabetes management is crucial for the elderly, addressing their specific vulnerabilities.
  • Focusing on geriatric syndromes, hypoglycemia, and cognitive function improves outcomes.
  • This review offers practical insights and solutions for healthcare providers.