Treatment of type 2 diabetes mellitus in elderly patients

被引：28

作者：

Gomez-Huelgas, R. ^{[1
,2
,3
,4
]}

Gomez Peralta, F. ^{[5
,6
]}

Rodriguez Manas, L. ^{[7
,8
,9
]}

Formiga, F. ^{[10
,11
]}

Puig Domingo, M. ^{[12
,13
,14
,15
]}

Mediavilla Bravo, J. J. ^{[16
,17
]}

Miranda, C. ^{[18
,19
]}

Ena, J. ^{[4
,20
]}

机构：

[1] Univ Malaga, Hosp Reg, Serv Med Interna, Malaga, Spain

[2] Inst Invest Biomed Malaga IBIMA, Malaga, Spain

[3] Inst Salud Carlos III, CIBER Obesidad & Nutr CIBEROBN, Madrid, Spain

[4] SEMI, Madrid, Spain

[5] Hosp Gen Segovia, Unidad Endocrinol & Nutr, Segovia, Spain

[6] SED, Madrid, Spain

[7] Hosp Univ Getafe, Serv Geriatria, Madrid, Spain

[8] Inst Salud Carlos III, CIBER Fragilidad & Envejecimiento Saludable CIBER, Madrid, Spain

[9] Soc Espanola Med Geriatr SEMEG, Madrid, Spain

[10] Hosp Univ Bellvitge, Unidad Geriatria, Barcelona, Spain

[11] SEGG, Madrid, Spain

[12] Hosp Badalona Germans Trias & Pujol, Serv Endocrinol & Nutr, Barcelona, Spain

[13] Inst Invest Ciencies Salut Germans Trias & Pujol, Barcelona, Spain

[14] Inst Salud Carlos III, CIBER Diabet & Enfermedades Metab Asociadas CIBER, Madrid, Spain

[15] SEEN, Madrid, Spain

[16] Ctr Salud Burgos Rural, Burgos, Spain

[17] Soc Espanola Med Gen SEMERGEN, Madrid, Spain

[18] Ctr Salud Buenavista, Toledo, Spain

[19] Soc Espanola Med Gen &Familia SEMG, Madrid, Spain

[20] Hosp Marina Baixa, Serv Med Interna, Alicante, Spain

来源：

REVISTA CLINICA ESPANOLA | 2018年 / 218卷 / 02期

关键词：

Type 2 diabetes mellitus; Elderly; Antidiabetic treatment; RANDOMIZED CLINICAL-TRIAL; BIPHASIC INSULIN ASPART; ONCE-WEEKLY DULAGLUTIDE; CHRONIC KIDNEY-DISEASE; FRAIL OLDER-ADULTS; DOUBLE-BLIND; GLYCEMIC CONTROL; CARDIOVASCULAR OUTCOMES; POOLED ANALYSIS; OPEN-LABEL;

D O I：

10.1016/j.rce.2017.12.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The prevalence of type 2 diabetes mellitus (DM2) increases markedly with age. Anti diabetic treatment and the objectives of glycaemic control in elderly patients with DM2 should be individualised according to their biopsychosocial characteristics. In elderly patients for whom the benefits of intensive antidiabetic treatment are limited, the basic objectives should be to improve the quality of life, preserve functionality and avoid adverse effects, especially hypoglycaemia. Treatment of DM2 in the elderly was the subject of a consensus document published in 2012 and endorsed by several Spanish scientific societies. Since then, new therapeutic groups and evidence have emerged that warrant an update to this consensus document. The present document focuses on the therapeutic aspects of DM2 in elderly patients, understood as being older than 75 years or frail. (C) 2017 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.

引用

页码：74 / 88

页数：15

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