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Diabetes News

Tag: elderly


Association between intensive glycemic control and mortality in elderly diabetic patients in the primary care: A retrospective cohort study

April 13th 2020

Glycemic target for elderly T2DM patients should be approached cautiously. Over-aggressive treatment may lead to increased mortality among elderly T2DM patients (Primary Care Diabetes)

Categories: Management, News
Tags: elderly

Categories: Management
Tags: elderly

Effect of diabetes duration on the relationship between glycaemic control and risk of death in older adults with type 2 diabetes

October 9th 2019

In elderly individuals with T2D, the effect of glycaemic control (measured by HbA1c) on all‐cause mortality depended on the duration of diabetes. Of particular clinical importance, we found that strict glycaemic control was associated with an increased risk of death among individuals with long (>5 years) diabetes duration (Diabetes, Obesity and Metabolism)

Categories: News, Treatment
Tags: elderly, Type 2 Diabetes

Categories: Treatment
Tags: elderly, Type 2 Diabetes

Patient Perceptions of Diabetes Guideline Frameworks for Individualizing Glycemic Targets

September 17th 2019

Many older adults do not place high importance on factors recommended by guidelines to individualize diabetes treatment, especially when deciding to stop use of diabetes medications (JAMA)

Categories: Monitoring, News
Tags: elderly

Categories: Monitoring
Tags: elderly

Immunological and clinical characteristics of latent autoimmune diabetes in the elderly

July 2nd 2019

Autoantibodies GADA and Znt8A may be useful markers in identifying a subgroup of older patients with a clinical presentation of diabetes which could be characterized as latent autoimmune diabetes in the elderly (Diabetes/Metabolism Research and Reviews)

Categories: Diagnosis, News
Tags: elderly, lada

Categories: Diagnosis
Tags: elderly, lada

Preventing misdiagnosis of diabetes in the elderly: age-dependent HbA1c reference intervals derived from two population-based study cohorts

February 12th 2019

The present study confirmed the previously observed increase of HbA1c with increasing age in non-diabetic individuals. As a consequence age-dependent reference values for HbA1c were derived from two large and well defined reference populations. Implementation of them into daily practice may improve patient care and diagnosis of diabetes and reduce the risk of misdiagnosis and subsequent overtreatment of diabetes in elderly patients (BMC Endocrine Disorders)

Categories: News, Screening
Tags: elderly, HbA1c

Categories: Screening
Tags: elderly, HbA1c

Type 2 diabetes mellitus in older people: a brief statement of key principles of modern day management including the assessment of frailty.

May 7th 2018

We present a framework for the assessment of older adults and guidelines for the management of this population according to their frailty status, with the intention of reducing complications and improving quality of life for these people (Diabetic Medicine)

Categories: Management, News
Tags: elderly, Type 2 Diabetes

Categories: Management
Tags: elderly, Type 2 Diabetes

Diabetes in the Elderly

February 19th 2018

This review takes a practical approach to the assessment, nursing care, and medical treatment of diabetes in the elderly. It highlights major challenges and suggests solutions to these commonly encountered clinical problems  (Diabetes Therapy)

Categories: News, Treatment
Tags: elderly

Categories: Treatment
Tags: elderly

Are we missing hypoglycaemia? Elderly patients with insulin-treated diabetes present to primary care frequently with non-specific symptoms associated with hypoglycaemia

September 12th 2017

Non-specific symptoms are common in those >65 years. In insulin-treated patients at high hypoglycaemia risk, nausea, falls and unsteadiness should prompt consideration of hypoglycaemia (Primary Care Diabetes)

Categories: Monitoring, News
Tags: elderly, hypoglycemia, primary care

Categories: Monitoring
Tags: elderly, hypoglycemia, primary care

Liberating A1C goals in older adults may not protect against the risk of hypoglycemia

March 16th 2017

A1C levels are not associated with hypoglycemia risk in older population with type-2 diabetes on insulin therapy. Higher A1C goals do not protect against hypoglycemia  (Diabetes and Its Complications)

Categories: Monitoring, News
Tags: elderly, HbA1c, hypoglycemia, Type 2 Diabetes

Categories: Monitoring
Tags: elderly, HbA1c, hypoglycemia, Type 2 Diabetes

Lack of Evidence to Guide Deprescribing of Antihyperglycemics: A Systematic Review

December 16th 2016

There is limited evidence available regarding deprescribing antihyperglycemic medications. Adequately powered, high-quality studies, particularly in the elderly and with clinically important outcomes, are required to support evidence-based decision-making (Diabetes Therapy)

Categories: Management, News
Tags: antihyperglycemic, deprescribing, elderly

Categories: Management
Tags: antihyperglycemic, deprescribing, elderly

Meta-Analysis: Association between Hypoglycaemia and Serious Adverse Events in Older Patients

March 18th 2016

Our meta-analysis raises major concerns about a range of serious adverse events associated with hypoglycaemia. Clinicians should prioritize individualized therapy and closer monitoring strategies to avoid hypoglycaemia in susceptible older patients (Journal of Diabetes and Its Complications)

Categories: News, Treatment
Tags: elderly, hypoglycemia

Categories: Treatment
Tags: elderly, hypoglycemia

The effect of frailty should be considered in the management plan of older people with Type 2 diabetes

March 15th 2016

In frail older people, particularly in those with chronic wasting diseases and significant weight loss, blood glucose levels tend to normalize with increased risk of hypoglycemia. Recurrent hypoglycemia in frail older people with diabetes is a marker of vulnerability and hypoglycemic medication review or even complete withdrawal is appropriate in this group of patients (Future Science)

Categories: Management, News
Tags: elderly

Categories: Management
Tags: elderly

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