How to approach to the therapy of diabetes in the elderly

J 2014

How to approach to the therapy of diabetes in the elderly

WEBER, Pavel, Dana WEBEROVÁ and Hana MELUZÍNOVÁ

Basic information

Original name

How to approach to the therapy of diabetes in the elderly

Authors

WEBER, Pavel (203 Czech Republic, guarantor, belonging to the institution), Dana WEBEROVÁ (203 Czech Republic, belonging to the institution) and Hana MELUZÍNOVÁ (203 Czech Republic, belonging to the institution)

Edition

Advances in Gerontology, St. Petersburg, Springer Science + Business Media, 2014, 2079-0570

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

Russian Federation

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/14:00078259

Organization unit

Faculty of Medicine

Keywords in English

advanced age; multi-morbidity; geriatric syndromes; poly-pharmacy; diabetes mellitus; specifics; hypoglycemia; T2DM; treatment; oral anti-diabetic drugs; insulin

Abstract

V originále

In gerontology diabetes mellitus (DM) is clinically the most frequent and extremely serious metabolic disorder. DM is an important health issue across the globe. With increasing life expectancy physicians are called upon to manage diabetes in the elderly more often. Senior patients suffer predominantly from the type 2 DM — T2DM (70+ up to 90–95 %). Apart from genetic predisposition and an environmental infl uence, nutritional habits, modern lifestyle, stress and minor physical activity are of particular importance. Treatment options for T2DM in the elderly are diet, physical activity, various oral anti-diabetic drugs and insulin. At the start of treatment should primarily take into account: patient’s age; self-suffi ciency; late micro- and macro-vascular complications; social status; nutritional assessment (incl. dental status); other handicaps — psychic, motoric, visual and aural. Especially in frail, elderly patients, there should be less emphasis on strict glycaemic control than on avoiding malnutrition and hypoglycemia and achieving the best possible quality of life. Therapy of DM in this population is tightly connected with signifi cant risks of microand macrovascular complications on one hand, and possible problems of the treatment (e.g. hypoglycemia) with intensive control on the other hand. To realize a comprehensive approach to therapy of diabetes in the old age a holistic approach with main aim improving quality of life is necessary.

Citovat

WEBER, Pavel, Dana WEBEROVÁ and Hana MELUZÍNOVÁ. How to approach to the therapy of diabetes in the elderly. Advances in Gerontology. St. Petersburg: Springer Science + Business Media, 2014, vol. 27, No 3, p. 519-530. ISSN 2079-0570.

@article{1216291,
   author = {Weber, Pavel and Weberová, Dana and Meluzínová, Hana},
   article_location = {St. Petersburg},
   article_number = {3},
   keywords = {advanced age; multi-morbidity; geriatric syndromes; poly-pharmacy; diabetes mellitus; specifics; hypoglycemia; T2DM; treatment; oral anti-diabetic drugs; insulin},
   language = {eng},
   issn = {2079-0570},
   journal = {Advances in Gerontology},
   title = {How to approach to the therapy of diabetes in the elderly},
   volume = {27},
   year = {2014}
}

TY  - JOUR
ID  - 1216291
AU  - Weber, Pavel - Weberová, Dana - Meluzínová, Hana
PY  - 2014
TI  - How to approach to the therapy of diabetes in the elderly
JF  - Advances in Gerontology
VL  - 27
IS  - 3
SP  - 519-530
EP  - 519-530
PB  - Springer Science + Business Media
SN  - 20790570
KW  - advanced age
KW  - multi-morbidity
KW  - geriatric syndromes
KW  - poly-pharmacy
KW  - diabetes mellitus
KW  - specifics
KW  - hypoglycemia
KW  - T2DM
KW  - treatment
KW  - oral anti-diabetic drugs
KW  - insulin
N2  - In gerontology diabetes mellitus (DM) is clinically the most frequent and extremely serious metabolic disorder. DM is an important health issue across the globe. With increasing life expectancy physicians are called upon to manage diabetes in the elderly more often. Senior patients suffer predominantly from the type 2 DM — T2DM (70+ up to 90–95 %). Apart from genetic predisposition and an environmental infl uence, nutritional habits, modern lifestyle, stress and minor physical activity are of particular importance. Treatment options for T2DM in the elderly are diet, physical activity, various oral anti-diabetic drugs and insulin. At the start of treatment should primarily take into account: patient’s age; self-suffi ciency; late micro- and macro-vascular complications; social status; nutritional assessment (incl. dental status); other handicaps — psychic, motoric, visual and aural. Especially in frail, elderly patients, there should be less emphasis on strict glycaemic control than on avoiding malnutrition and hypoglycemia and achieving the best possible quality of life. Therapy of DM in this population is tightly connected with signifi cant risks of microand macrovascular complications on one hand, and possible problems of the treatment (e.g. hypoglycemia) with intensive control on the other hand. To realize a comprehensive approach to therapy of diabetes in the old age a holistic approach with main aim improving quality of life is necessary.
ER  -

WEBER, Pavel, Dana WEBEROVÁ and Hana MELUZÍNOVÁ. How to approach to the therapy of diabetes in the elderly. \textit{Advances in Gerontology}. St. Petersburg: Springer Science + Business Media, 2014, vol.~27, No~3, p.~519-530. ISSN~2079-0570.

Detailed Information on Publication Record