Crossing New Frontiers in the Care of Older Adults with Diabetes Mellitus
Pp. 50-72 (23)
Tuck Yean Yong and Kareeann Sok Fun Khow
Diabetes mellitus has a significant impact on the health and well-being of
older people with this condition. The prevalence of diabetes and its associated
complications is increasing in older people, leading to decline in functional status and
quality of life. The appropriateness of tight glycaemic, blood pressure and lipid control
for an older person with diabetes needs to be assessed individually. Although many
pharmacological treatments for diabetes are available, their use in older people can be
challenging due to increased risk of adverse reactions and drug-drug interactions with
other medications. Rates of geriatric syndromes (e.g. depression, cognitive impairment,
functional disability, urinary incontinence and falls) are increased in older people with
diabetes. Multidisciplinary and multidimensional approach to management is essential
to maintain independence and quality of life in older people with diabetes.
Cardiovascular diseases, Diabetes mellitus, Geriatric syndromes,
Glycated haemoglobin, Hyperglycaemia, Hypertension, Hypoglycaemia,
Individualized therapy, Older people.
Internal Medicine, Flinders Private Hospital, Flinders Drive, Bedford Park, South Australia 5042, Australia.