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Review
. 2023 Nov;35(11):2279-2291.
doi: 10.1007/s40520-023-02519-3. Epub 2023 Sep 4.

Essential steps in primary care management of older people with Type 2 diabetes: an executive summary on behalf of the European geriatric medicine society (EuGMS) and the European diabetes working party for older people (EDWPOP) collaboration

Isabelle Bourdel-Marchasson  1   2 , Stefania Maggi  3 , Ahmed Abdelhafiz  4 , Sri Bellary  5 , Jacopo Demurtas  6 , Angus Forbes  7 , Philip Ivory  8 , Leocadio Rodríguez-Mañas  9 , Cornel Sieber  10   11 , Timo Strandberg  12   13 , Daniel Tessier  14   15 , Itziar Vergara  16 , Nicola Veronese  17 , Andrej Zeyfang  18 , Antoine Christiaens  19   20 , Alan Sinclair  21
Affiliations
Review

Essential steps in primary care management of older people with Type 2 diabetes: an executive summary on behalf of the European geriatric medicine society (EuGMS) and the European diabetes working party for older people (EDWPOP) collaboration

Isabelle Bourdel-Marchasson et al. Aging Clin Exp Res. 2023 Nov.

Abstract

We present an executive summary of a guideline for management of type 2 diabetes mellitus in primary care written by the European Geriatric Medicine Society, the European Diabetes Working Party for Older People with contributions from primary care practitioners and participation of a patient's advocate. This consensus document relies where possible on evidence-based recommendations and expert opinions in the fields where evidences are lacking. The full text includes 4 parts: a general strategy based on comprehensive assessment to enhance quality and individualised care plan, treatments decision guidance, management of complications, and care in case of special conditions. Screening for frailty and cognitive impairment is recommended as well as a comprehensive assessment all health conditions are concerned, including end of life situations. The full text is available online at the following address: essential_steps_inprimary_care_in_older_people_with_diabetes_-_EuGMS-EDWPOP___3_.pdf.

Keywords: Cognitive disorders; Frailty; Glucose lowering therapy; Integrative care; Prevention; Type diabetes mellitus.

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Conflict of interest statement

None of the authors have declared a Conflict of Interest in this manuscript.

Figures

Fig. 1
Fig. 1
Overview of the guiding principles of individualised care plan dynamic design
Fig. 2
Fig. 2
Proposal for a glucose lowering strategy in primary care in the older patient (based on the EASD guidelines and specific key considerations. [10, 11]
See this image and copyright information in PMC

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