Management of Type 1 Diabetes in Older Adults
- PMID: 26246751
- PMCID: PMC4522896
- DOI: 10.2337/diaspect.27.1.9
Management of Type 1 Diabetes in Older Adults
Abstract
Older adults with type 1 diabetes are at high risk for severe hypoglycemia and may have serious comorbid conditions. Problems with cognition, mobility, dexterity, vision, hearing, depression, and chronic pain interfere with the ability to follow complex insulin regimens. With the development of geriatric syndromes, unpredictable eating, and frailty, treatment regimens must be modified with the goal of minimizing hypoglycemia and severe hyperglycemia and maximizing quality of life.
References
-
- DIAMOND project group : Incidence and trends of childhood type 1 diabetes worldwide 1990–1999. Diabet Med 23:857–866, 2006 - PubMed
-
- Patterson CC, Dahlquist GG, Gyürüs E, Green A, Soltész G; EURODIAB study group: Incidence trends for childhood type 1 diabetes in Europe during 1989–2003 and predicted new cases 2005–20: a multicentre prospective registration study. Lancet 373:2027–2033, 2009 - PubMed
-
- International Diabetes Federation : Diabetes Atlas. 5th ed. Brussels, Belgium, International Diabetes Federation, 2011
-
- Schutt M, Fach EM, Seufert J, Kerner W, Lang W, Zeyfang A, Welp R, Holl RW; DPV Initiative and the German BMBF Competence Network Diabetes Network: Multiple complications and frequent severe hypoglycaemia in ‘elderly’ and ‘old’ patients with type 1 diabetes. Diabet Med 29:e176–e179, 2012 - PubMed
-
- DCCT Research Group : The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med 329:977–986, 1993 - PubMed
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