diabetes journal geriatrics pdf free download - American Geriatrics Society Expert Panel on diabetes type 2 support groups the Care of Older Adults with Diabetes Mellitus OBJECTIVES Incorporate highquality new evidence with significant effect on diabetes mellitus DM care that has become available since the 2003 Guidelines for Improving the Care of the Older Person with Diabetes Mellitus into The number of older adults with diabetes is increasing in the United States and worldwide due to increased lifespan and the increased prevalence of diabetes in the geriatric population Onethird of the US population over 65 years old has diabetes with a projection of twofold increased prevalence for those 6574 and fourfold increased prevalence for those 75 years of age from 2005 to Introduction The number of adults with diabetes mellitus was estimated to be 537 million worldwide in 2021 and is anticipated to increase to 7002 million by 2045 1 This is due to general population aging as well as to lifestyle changes According to the National Health and Nutrition Survey in Japan 264 of men and 196 of women 70 years of age have diabetes Fig 1 2 Based on the PDF Guidelines Abstracted from the American Geriatrics Society Guidelines Diabetes in the Elderly Endotext NCBI Bookshelf Individualized treatment of diabetes mellitus in older adults 13 Older Adults Standards of Care in Diabetes2024 Diabetes in Older Adults A Consensus Report American Geriatrics Society 131 Consider the assessment of medical psychological functional selfmanagement abilities and social domains in older adults to provide a framework to determine targets and therapeutic approaches for diabetes managementB 132 Screen for geriatric syndromes ie polypharmacy cognitive impairment depression urinary incontinence falls persistent pain and frailty in older adults Guidelines Abstracted from the American Geriatrics Society Guidelines Lu FP Lin KP Kuo HK Diabetes and the risk of multisystem aging phenotypes A systematic askep diabetes melitus 2017 review and metaanalysis PLoS One 20094e4144 doi 101371journalpone0004144 PMC free article Google Scholar 25 Biessels GJ Staekenborg S Brunner E et al Risk of dementia in diabetes mellitus A systematic review Type 2 diabetes mellitus in older adults clinical Nature 131 Consider the assessment of medical psychological functional selfmanagement abilities and social domains in older adults with diabetes to provide a framework to determine goals and therapeutic approaches for diabetes managementB 132 Screen for geriatric syndromes eg cognitive impairment depression urinary incontinence falls persistent pain and frailty and polypharmacy in Treatment of Diabetes in Older Adults Guideline Resources Guideline title Guidelines for Improving the Care of Older Adults With Diabetes Mellitus 2013 Update Developer American Geriatrics Society AGS Release date November 2013 Prior version 2003 Target population Adults aged 65 years or older with diabetes Major recommendations These comprehensive guidelines emphasize an individualized approach to diabetes care goals and treatment among adults 13 Older Adults Standards of Care in Diabetes2023 The problems that older individuals with diabetes face in contrast to younger people with the disease include sarcopenia frailty and cognitive dysfunction Such complications can lead to an increased risk of poor medication adherence hypoglycemia from certain medications falls and loss of independence in daily living activities Glycemic Control in Older Adults With Diabetes Mellitus The management of type 2 diabetes mellitus T2DM in older adults aged 65 years presents specific challenges This Review summarizes the key agerelated mechanisms contributing to T2DM and A central concept in geriatric diabetes care guidelines is that providers should base decisions regarding treatment targets or interventions on life expectancy 2 16 56 Patients whose life expectancy is limited eg 5 years 10 years are considered unlikely to benefit from intensive glucose control for example what to avoid diabetes whereas those with longer
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