Recommendations: Older Adults (1)
Recommendations for the care of diabetes in older adults1 are summarized in two slides Slide 1 of 2 Older adults who are functional, are cognitively intact, and have significant life expectancy should receive diabetes care using goals developed for younger adults (E) Glycemic goals for older adults not meeting the above criteria may be related using individual criteria, but hyperglycemia leading to symptoms or risk of acute hyperglycemic complications should be avoid in all patients (E) Diabetes is an important health condition for the aging population; at least 20% of patients over the age of 65 years have diabetes, and this number can be expected to grow rapidly in the coming decades Older individuals with diabetes have higher rates of premature death, functional disability, and coexisting illnesses such as hypertension, CHD, and stroke than those without diabetes Older adults with diabetes are also at greater risk than other older adults for several common geriatric syndromes, such as polypharmacy, depression, cognitive impairment, urinary incontinence, injurious falls, and persistent pain A consensus report on diabetes and older adults2 have influenced these recommendations128References American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S44-S45. Kirkman M, Briscoe VJ, Clark N, et al. Diabetes in older adults. Diabetes Care 2012;35:2650-2664.