Diabetes in older people: new insights and remaining challenges

Sinclair,A, Dunning,T and Rodriguez-Mañas,L 2015, Diabetes in older people: new insights and remaining challenges, Lancet diabetes and endochrinology, vol. 3, no. 4, pp. 275-285, doi: 10.1016/S2213-8587(14)70176-7.

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Title Diabetes in older people: new insights and remaining challenges
Author(s) Sinclair,A
Dunning,TORCID iD for Dunning,T orcid.org/0000-0002-0284-1706
Journal name Lancet diabetes and endochrinology
Volume number 3
Issue number 4
Start page 275
End page 285
Total pages 11
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015-04
ISSN 2213-8595
Summary Diabetes in ageing communities imposes a substantial personal and public health burden by virtue of its high prevalence, its capacity to cause disabling vascular complications, the emergence of new non-vascular complications, and the effects of frailty. In this Review, we examine the current state of knowledge about diabetes in older people (aged ≥75 years) and discuss how recognition of the effect of frailty and disability is beginning to lead to new management approaches. A multidimensional and multidisciplinary assessment process is essential to obtain information on medical, psychosocial, and functional capabilities, and also on how impairments of these functions could limit activities. Major aims of diabetes care include maintenance of independence, functional status, and quality of life by reduction of symptom and medicine burden, and active identification of risks. Linking of therapeutic targets to individual functional status is mandatory and very tight glucose control is often not necessary. Hypoglycaemia remains an important avoidable iatrogenic event. Quality diabetes care in older people remains an important challenge for health professionals.
Language eng
DOI 10.1016/S2213-8587(14)70176-7
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 920104 Diabetes
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30072033

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