Management of Type 2 Diabetes Mellitus in the Elderly.
10.4093/jkd.2018.19.4.200
- Author:
Soo Kyung KIM
1
Author Information
1. Department of Endocrinology and Metabolism, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea. imdrksk@chollian.net
- Publication Type:Original Article
- Keywords:
Diabetes mellitus;
Elderly;
Geriatric assessment
- MeSH:
Accidental Falls;
Aged*;
Cardiovascular Diseases;
Depression;
Diabetes Mellitus;
Diabetes Mellitus, Type 2*;
Geriatric Assessment;
Humans;
Hypoglycemia;
Korea;
Medical Overuse;
Mortality, Premature;
Polypharmacy;
Urinary Incontinence
- From:Journal of Korean Diabetes
2018;19(4):200-207
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In Korea, by 2060, the proportion of the elderly population will be 40.1%, and at least one in three persons will have diabetes. Elderly patients with diabetes mellitus have higher rates of premature death, functional disability, and coexisting illnesses such as atherosclerotic cardiovascular disease than those without diabetes. In addition, the risk of geriatric syndrome, such as depression, cognitive dysfunction, urinary incontinence, falls, pain, and polypharmacy, is much higher in those with diabetes. The functional status of each elderly person varies greatly, such that comprehensive geriatric assessments for medical, psychological, functional, and social domains are needed. The goals and methods of diabetes management should be individualized according to the results of these assessments. In the treatment of vulnerable elderly patients with diabetes, hypoglycemia or overtreatment should be avoided.
