2009
DOI: 10.1007/s12603-009-0198-3
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Key priorities in managing glucose control in older people with diabetes

Abstract: Older people with diabetes represent a major and increasing proportion of our elderly population and their care requires better organisation. Targets for risk factor control and pathways of care must be adjusted to the subject's general health status. It is thus advisable to screen for frailty. We have carried out a detailed literature review of the studies published on diabetes in older people since 1990. Studies were considered if they included groups or subgroups of diabetic patients > 65 years old. This re… Show more

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Cited by 39 publications
(7 citation statements)
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“…The French GERODIAB prospective cohort study 34 is designed to provide information on this aspect by following more than 1000 patients aged 70 years or older for 5 years. For now, there is wisdom in the European Union of Geriatric Medical Societies guidelines recommendation that a distinction should be made between elderly patients who are otherwise in good health and frail patients with comorbidities or deteriorated cognitive function 35 ; particularly in the latter, treatment goals need to be flexible, with the primary aims of avoiding hypoglycaemia and any deterioration in quality of life 5,35 . This pragmatic approach is very similar to that of the latest AACE/ACE Consensus statement, which recommend that the primary goal of 6.5% 'must be customised for the individual patient, with consideration of numerous factors such as comorbid conditions, duration of diabetes, history of hypoglycaemia, hypoglycaemia unawareness, patient education, motivation, adherence, age, limited life expectancy and use of other medication' 36 .…”
Section: Treatment Goalsmentioning
confidence: 99%
See 1 more Smart Citation
“…The French GERODIAB prospective cohort study 34 is designed to provide information on this aspect by following more than 1000 patients aged 70 years or older for 5 years. For now, there is wisdom in the European Union of Geriatric Medical Societies guidelines recommendation that a distinction should be made between elderly patients who are otherwise in good health and frail patients with comorbidities or deteriorated cognitive function 35 ; particularly in the latter, treatment goals need to be flexible, with the primary aims of avoiding hypoglycaemia and any deterioration in quality of life 5,35 . This pragmatic approach is very similar to that of the latest AACE/ACE Consensus statement, which recommend that the primary goal of 6.5% 'must be customised for the individual patient, with consideration of numerous factors such as comorbid conditions, duration of diabetes, history of hypoglycaemia, hypoglycaemia unawareness, patient education, motivation, adherence, age, limited life expectancy and use of other medication' 36 .…”
Section: Treatment Goalsmentioning
confidence: 99%
“…Management of T2DM in the elderly is particularly challenging for many reasons [4][5][6] . Older patients have a high prevalence of cardiovascular (CV) risk factors and a high prevalence of such comorbidities as congestive heart failure (CHF), geriatric syndromes (including frailty and cognitive disorders), as well as social isolation and depression, with nearly half of patients aged 65 or older having some degree of undiagnosed renal impairment 7 ; in addition, the prevalence of polypharmacy is particularly high in the elderly population, posing an increased risk of drug interactions.…”
Section: Introductionmentioning
confidence: 99%
“…Around 30% of people in the world aged between 65 and 85 years are afflicted by T2DM; including 11.2 million Americans [ 2 ]. Similarly, the high prevalence of the disease is found among older people (70 to 79 years) living in Europe, North America and Australia [ 3 ].…”
Section: Introductionmentioning
confidence: 99%
“…In addition, older adults who take care of their spouse may focus on their spouse’s health at the expense of their own health, allocating insufficient time for rest, exercise, or routine medical care (Burton, Newsom, Schulz, Hirsch, & German, 1997). Having a spouse fall ill may be particularly challenging for individuals who must perform multiple self-management tasks daily to keep their glycemic levels under control, including physical activity, dietary adjustments, and regular monitoring of blood glucose (Bourdel-Marchasson et al, 2009). Long-term or intensive caregiving may make a partner feel isolated and depressed, which may result in poor glycemic control (Lustman et al, 2000).…”
Section: Introductionmentioning
confidence: 99%