Diabetes Canada Chapter 37: Diabetes in Older People

Zusammenfassung

KEY MESSAGES: Key Messages Diabetes in older people is distinct from diabetes in younger people and the approach to therapy should be different. This is especially true in those who have functional dependence, frailty, dementia or who are at end of life. This chapter focuses on these individuals. Personalized strategies are needed to avoid overtreatment of the frail elderly. In the older person with diabetes and multiple comorbidities and/or frailty, strategies should be used to strictly prevent

Kerninformationen

older person. There is limited information on the management of type 1 diabetes in the elderly, but this is included wherever appropriate. The definition of "older" varies, with some studies defining the elderly population as >=60 years of age. Administrative guidelines frequently classify people >6...

and A1C-based diagnosis of diabetes in this age group, a difference that is accentuated by race and gender (2) (see Monitoring Glycemic Control chapter, p. S47). Pending further studies to define the role of A1C in the diagnosis of diabetes in the elderly, other tests may need to be considered in so...

Frailty Index * 1-3 4-5 6-8 9 A1C target Low-risk hypoglycemia (i.e. therapy does not include insulin or SU) <=7.0% <8.0% <8.5% A1C measurement not recommended. Avoid symptomatic hyperglycemia or any hypoglycemia. A1C target Higher-risk hypoglycemia (i.e. therapy includes insulin or SU) 7.1-8.0% 7.1...

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