The older patient with diabetes: A practical approach

Arie Ben Yehuda, Adar Zinger, Samuel Durso

Research output: Contribution to journalReview article

Abstract

Type 2 diabetes mellitus is very prevalent among persons aged 60-80 years old. This population is expected to increase in number and is characterized by the presence of comorbidities, long standing diabetes, frailty, high rate of cognitive impairment and limited life expectancy. These characteristics have a significant impact on diabetes and treatment among the elderly, much as diabetes predisposes to these conditions. In this article we will describe mechanisms that may lead to insulin resistance and diabetes among the elderly and also how these conditions contribute to the development of frailty and cognitive impairment. Hypoglycemia and it's consequences are important considerations when planning the treatment of diabetes. Treatment options in light of new goals and the danger of hypoglycemia will be detailed.

Original languageEnglish (US)
Pages (from-to)88-95
Number of pages8
JournalDiabetes/Metabolism Research and Reviews
Volume30
Issue number2
DOIs
StatePublished - Feb 1 2014

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Keywords

  • Elderly
  • Hypoglycemia
  • Type 2 diabetes mellitus (T2DM)

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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