Management of Diabetes in the Elderly
Management of Diabetes in the Elderly
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DOI：
10.1016/j.mcna.2014.11.008
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发表时间：
2015-03-01
影响因子：
5.9
通讯作者：
Weinstock, Ruth S.
中科院分区：
文献类型：
--
作者：
Bansal, Nidhi;Dhaliwal, Ruban;Weinstock, Ruth S.
老年人糖尿病的管理需要仔细考虑伴随的老年综合征和合并症，增加并发症的风险，包括严重的低血糖。虽然健康的老年人可以使用推荐给年轻人的治疗方法，但虚弱的老年患者的治疗计划需要简化，A（1c）和血压目标需要随着功能，认知，视力和灵巧性障碍的发展而放松。老年人糖尿病管理的目标应该是维持生活质量，尽量减少症状性高血糖和药物副作用，包括低血糖。
Management of diabetes in the elderly necessitates careful consideration of concomitant geriatric syndromes and comorbid conditions that increase the risk of complications, including severe hypoglycemia. Whereas healthy older adults can use therapeutic approaches recommended for their younger counterparts, treatment plans for frail elderly patients need to be simplified and A(1c) and blood pressure goals relaxed with the development of impairments in function, cognition, vision, and dexterity. The goals of diabetes management in the elderly should be to maintain quality of life and minimize symptomatic hyperglycemia and drug side effects, including hypoglycemia.