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

Diabetes in the Elderly

Journal: Diabetes Therapy

Authors: Sanjay Kalra, Suresh K. Sharma

Publisher: Springer Healthcare


The elderly are an important and distinct yet heterogeneous group of persons living with diabetes. The elderly have a unique biomedical, psychological, and social constitution. Their needs are different from those of younger adults. This implies that special care must be taken while evaluating and planning their nursing and management. Diabetes management in the elderly should focus on prevention and limitation of geriatric syndromes (medical conditions encountered in elderly persons), hypoglycemia (low blood glucose), and neurocognitive dysfunction (impairment in the functioning of the nervous system and brain). This review takes a practical approach to the assessment, nursing care, and medical treatment of diabetes in the elderly. It highlights major challenges and suggests solutions to these commonly encountered clinical problems.
Dunning T, Sinclair A, Colagiuri S. New IDF guideline for managing type 2 diabetes in older people. Diabetes Res Clin Pract. 2014;103(3):538–40.CrossRefPubMed
American Diabetes Association. 11. Older adults: standards of medical care in diabetes—2018. Diabetes Care. 2018;41(Supplement 1):S119–25.CrossRef
World Health Organization. World report on ageing and health. Geneva: World Health Organization; 2015.
Munshi MN, Florez H, Huang ES, et al. Management of diabetes in long-term care and skilled nursing facilities: a position statement of the American Diabetes Association. Diabetes Care. 2016;39(2):308–18.CrossRefPubMedPubMedCentral
Chentli F, Azzoug S, Mahgoun S. Diabetes mellitus in elderly. Indian J Endocrinol Metab. 2015;19(6):744.CrossRefPubMedPubMedCentral
Baruah MP, Kalra S, Unnikrishnan AG, et al. Management of hyperglycemia in geriatric patients with diabetes mellitus: South Asian consensus guidelines. Indian J Endocrinol Metab. 2011;15(2):75.CrossRefPubMedPubMedCentral
Bajwa SJ, Sehgal V, Kalra S, Baruah MP. Management of diabetes mellitus type-2 in the geriatric population: current perspectives. J Pharm Bioallied Sci. 2014;6(3):151.CrossRefPubMedPubMedCentral
Kalra S. Geriatric diabetes. J Pak Med Assoc. 2013;63(3):403–5.PubMed
American Geriatrics Society Expert Panel on the Care of Older Adults with Diabetes Mellitus. Guidelines abstracted from the American Geriatrics Society guidelines for improving the care of older adults with diabetes mellitus: 2013 update. J Am Geriatr Soc. 2013;61(11):2020–6.CrossRefPubMedCentral
Seaquist ER, Anderson J, Childs B, et al. Hypoglycemia and diabetes: a report of a workgroup of the American Diabetes Association and the Endocrine Society. J Clin Endocrinol Metab. 2013;98(5):1845–59.CrossRefPubMed
Kalra S, Gupta Y. Prevention of hypoglycaemia, the ASAP (anticipate, suspect, act, prevent) strategy. J Pak Med Assoc. 2017;67(4):648.PubMed
Rich MW, Chyun DA, Skolnick AH, et al. Knowledge gaps in cardiovascular care of the older adult population: a scientific statement from the American Heart Association, American College of Cardiology, and American Geriatrics Society. J Am Coll Cardiol. 2016;67(20):2419–40.CrossRefPubMed
Mitrakou A, Katsiki N, M Lalic N. Type 2 diabetes mellitus and the elderly: an update on drugs used to treat glycaemia. Curr Vasc Pharmacol. 2017;15(1):19–29.CrossRefPubMed
Kalra S, Kalra B, Saluja S. Dietary management in geriatric patients of diabetes mellitus: special considerations. Internet J Geriatr Gerontol. 2009;5(1).
Tandon N, Kalra S, Balhara YP, et al. Forum for injection technique and therapy expert recommendations, India: the Indian recommendations for best practice in insulin injection technique, 2017. Indian J Endocrinol Metab. 2017;21(4):600.CrossRefPubMedPubMedCentral
Kalra S, Gupta Y. Weekend therapy in diabetes. J Pak Med Assoc. 2016;66(5):627–8.PubMed
Kalra S, Gupta Y, Sahay R. The law of therapeutic parsimony. Indian J Endocrinol Metab. 2016;20(3):283.CrossRefPubMedPubMedCentral

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