Diabetes Mellitus in Older People: Position Statement on behalf of the International Association of Gerontology and Geriatrics (IAGG), the European Diabetes Working Party for Older People (EDWPOP), and the International Task Force of Experts in Diabetes
Diabetes Mellitus in Older People: Position Statement on behalf of the International Association of Gerontology and Geriatrics (IAGG), the European Diabetes Working Party for Older People (EDWPOP), and the International Task Force of Experts in Diabetes
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DOI：
10.1016/j.jamda.2012.04.012
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发表时间：
2012-07-01
影响因子：
7.6
通讯作者：
Lorig, Kate
中科院分区：
文献类型：
--
作者：
Sinclair, Alan;Morley, John E.;Lorig, Kate
糖尿病是老龄化社会中非常普遍的代谢疾病，与高发病率、多种治疗和功能恶化相关，即使是最好的卫生保健系统也难以提供高质量的个性化护理。大多数国际临床指南都忽略了许多老年糖尿病患者特有的虚弱、功能限制、心理健康变化和依赖性增加等问题。IAGG和EDWPOP的一个合作专家组以及一个国际工作组使用一种强有力的方法，包括德尔菲过程和文献的循证审查，探索了影响老年人糖尿病的关键问题。最初商定并讨论了八个感兴趣的领域：低血糖、治疗、养老院糖尿病、合并症的影响、血糖目标、家庭/护理人员的观点、糖尿病教育和患者安全。在每个感兴趣的领域产生了一套“共识”声明。这些构成了该领域未来政策制定的基础，并应影响所有从事向老年人提供糖尿病护理的卫生专业人员的临床行为和方法。版权所有(C) 2012 -美国医学董事协会，Inc。
Diabetes mellitus is a highly prevalent metabolic condition in ageing societies associated with high levels of morbidity, multiple therapies, and functional deterioration that challenges even the best of health care systems to deliver high-quality, individualized care. Most international clinical guidelines have ignored the often-unique issues of frailty, functional limitation, changes in mental health, and increasing dependency that characterize many aged patients with diabetes. A collaborative Expert Group of the IAGG and EDWPOP and an International Task Force have explored the key issues that affect diabetes in older people using a robust method comprising a Delphi process and an evidence-based review of the literature. Eight domains of interest were initially agreed and discussed: hypoglycemia, therapy, care home diabetes, influence of comorbidities, glucose targets, family/carer perspectives, diabetes education, and patient safety. A set of "consensus" statements was produced in each domain of interest. These form a foundation for future policy development in this area and should influence the clinical behavior and approach of all health professionals engaged in delivering diabetes care to older people. Copyright (C) 2012 - American Medical Directors Association, Inc.