Older adults and type 1 diabetes

Highlights

06-17-2020 | Continuous glucose monitoring | Highlight | News

Variable CGM benefits in high-risk subgroups

Continuous glucose monitoring is well accepted and reduces time in hypoglycemia among older individuals with type 1 diabetes, report researchers in JAMA.

06-06-2018 | Type 1 diabetes | Case report | Article

Sudden onset of immune-mediated type 1 diabetes mellitus in a 93-year-old woman: A case report

Oriot P et al. Acta Diabetol 2018. doi: 10.1007/s00592-018-1170-7

04-19-2018 | Older adults | Highlight | News

Glycemic variability modifies mortality risk in older diabetes patients

The excess mortality risk associated with high or very low glycated hemoglobin values is modified by glycemic variability in diabetes patients aged 70 years or more, shows an analysis of The Health Improvement Network database.

02-19-2018 | Older adults | Practical approach | Article

Diabetes in the elderly

This review takes a practical approach to the assessment, nursing care, and medical treatment of diabetes in the elderly, highlighting major challenges and suggesting solutions to common clinical problems.

Editorial Board member Jay Shubrook follows up with treatment individualization specialist David Strain on the treatment challenges presented by older adults, and the implications for tailoring hypertension therapy in this diverse population (11:08).

Learning points include:

The rationale for emphasizing quality over quantity of life in certain subsets of the elderly patient population.
The importance of incorporating understanding of key comorbidities into treatment planning, including:
- Left ventricular and/or diastolic dysfunction
- Chronic kidney disease
- Benign prostatic hyperplasia
- Heart failure
Single/multi-agent therapies capable of targeting hypertension and its comorbidities.
The importance of early renal function testing in older adults initiated on treatments for hypertension and its comorbidities.
Understanding renal impairment risks in vulnerable adults treated with angiotensin-converting-enzyme (ACE) inhibitors in patients.
Understanding the relative risk of hyponatremia with generally well-tolerated treatments like as thiazide diuretics.
Best practice for avoiding adverse drug events in the acute setting.
The challenges associated with treating concomitant heart failure in older adults.

« Video 4: Individualization of diabetes treatment: Considerations for frail, elderly patients with heart failure

Editorial Board member Jay Shubrook talks to treatment individualization specialist David Strain about the treatment challenges presented by older adults, and the implications for tailoring hypertension therapy in this diverse population (11:40).