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Type 1 diabetes and frailty: A scoping review
Jonathan A Golding1,2, Esther S T Yong1,2, Suzy V Hope3,4
1Brighton and Sussex Medical School, Brighton, UK.
Summary
Research on frailty in older adults with type 1 diabetes is lacking. More studies are needed to understand and manage the challenges of aging with type 1 diabetes.
Area of Science:
- Gerontology
- Endocrinology
- Diabetes Management
Background:
- Type 1 diabetes management advances allow individuals to live longer.
- Frailty is a known complication in type 2 diabetes.
- Frailty in type 1 diabetes remains under-researched.
Purpose of the Study:
- To review existing evidence on frailty in older adults with type 1 diabetes.
- To identify gaps in current research.
Main Methods:
- Systematic literature search across multiple databases and grey literature.
- Inclusion of English articles published after 2001.
- Focus on participants over 55 with type 1 diabetes and clearly defined frailty.
Main Results:
- 23 articles were included out of 233 reviewed.
- No studies specifically addressed frailty in older adults with type 1 diabetes.
- 14 frailty definitions and 9 assessments were identified across studies.
Conclusions:
- There is a significant lack of evidence regarding frailty in older adults with type 1 diabetes.
- Standardized definitions and assessments for frailty are crucial for future research.
- Urgent research is needed to support aging individuals with type 1 diabetes.
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