Recognition and complications of diabetes in the older patient.
An international classification of diabetes and other disorders of glucose intolerance is presented. The disorder is subdivided into insulin-dependent diabetes mellitus (IDDM), non-insulin-dependent diabetes mellitus (NIDDM), and various forms of impaired glucose tolerance (IGT). Diagnostic criteria are discussed in detail, as are guidelines in management, including emotional support, nutritional requirements, and patient education. The elderly are particularly affected by the complications of diabetic retinopathy, neuropathy, nephropathy, generalized large vessel disease, and foot problems. Drug-related complications are also common in this group. Specific agents that may interact to potentiate hyperglycemia or hypoglycemia or induce adverse reactions are outlined.
D000368:Aged; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000145:classification / Q000175:diagnosis / Q000628:therapy*; D006801:Humans