Type 2 diabetes mellitus is increasingly common, and previously unrecognized complications are emerging...
MD, FRCPC, FACP, AGSF
Research into the management of diabetes seems to be accelerating every year, and the large number of new treatment options makes it difficult for the average physician to keep up.
Recent therapeutic advances have seen the emergence of several oral agents for type 2 diabetes, providing an opportunity for better management of the disease.
Glycemic goals and the decision to intensify glycemic control among older adults with diabetes must be individualized based on comorbid conditions and the risks associated with treatment.
Over the past decade, eight classes of drugs have been used to treat diabetes; however, insulin remains the most effective and least costly treatment for older adults.
Self-management education and counselling regarding diet and physical activity can improve weight, blood glucose, and lipid levels, and blood pressure control among older adults with type 2 diabetes.
The British Geriatrics Society, in conjunction with the European Association for the Study of Diabetes, established two sets of therapeutic goals for older people, the first of which applies to healthy, active older persons with diabetes.
La British Geriatrics Society, en association avec la European Association for the Study of Diabetes, a fixé deux séries d'objectifs thérapeutiques pour les personnes âgées.
The aging of the population and increasing prevalence of diabetes are worldwide phenomena that require a better focus on challenges of diabetes management in older adults.