Management of Type 2 Diabetes Mellitus in Older Adults

被引:32
作者
Kim, Kyung Soo [1 ]
Kim, Soo Kyung [1 ]
Sung, Kyung Mi [2 ,3 ]
Cho, Yong Wook [1 ]
Park, Seok Won [1 ]
机构
[1] CHA Univ, CHA Bundang Med Ctr, Sch Med, Dept Internal Med, 59 Yatap Ro, Seongnam 463712, South Korea
[2] Gyeongsang Natl Univ, Coll Nursing, Jinju, South Korea
[3] Gyeongsang Natl Univ, Inst Hlth Sci, Jinju, South Korea
基金
新加坡国家研究基金会;
关键词
Diabetes mellitus; type; 2; Elderly diabetes; Geriatric syndrome; Sarcopenia;
D O I
10.4093/dmj.2012.36.5.336
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In the near future, the majority of patients with diabetes will be adults aged 65 or older. Unlike young adults with diabetes, elderly diabetic people may be affected by a variety of comorbid conditions such as depression, cognitive impairment, muscle weakness (sarcopenia), falls and fractures, and physical frailty. These geriatric syndromes should be considered in the establishment of treatment goals in older adults with diabetes. Although there are several guidelines for the management of diabetes, only a few are specifically designed for the elderly with diabetes. In this review, we present specific conditions of elderly diabetes which should be taken into account in the management of diabetes in older adults. We also present advantages and disadvantages of various glucose-lowering agents that should be considered when choosing a proper regimen for older adults with diabetes.
引用
收藏
页码:336 / 344
页数:9
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