title: [Type 2 diabetes in the middle aged. Strict goals from the very beginning!].
abstract: Type 2 diabetes mellitus in the middle-aged, that is the onset of diabetes before the age of 65, accounts for fifty percent of all diabetic patients. Because of their relatively long life expectancy, this age group carries a particular risk of experiencing microvascular and macrovascular sequelae. In view of this, the following therapeutic objectives must be strictly applied: near-normalization of blood glucose, HbA1c (< 7.0%), blood pressure (< 140/90 mmHg), LDL cholesterol (< 130/100 mg/dl). Permanent weight reduction in the initial phase may delay disease progression for years. Guidelines issued by the German Diabetes Association require that middle-aged type 2 diabetics should receive 20-24 hours of structured instruction in closed groups, since the brief information provided by the doctor's assistant is inadequate in this age group.
authors.affiliation: DiabNord Zentrum für Diabetes, Bremen.
authors.forename: H
authors.initials: H
authors.lastname: Otto
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D008078:Cholesterol, LDL / Q000097:blood; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000503:physiopathology / Q000628:therapy*; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000628:therapy; D010353:Patient Education as Topic; D011379:Prognosis; D012307:Risk Factors; D012648:Self Care; D015431:Weight Loss
chemical_list: D001786:Blood Glucose; D008078:Cholesterol, LDL; D006442:Glycated Hemoglobin; D000960:Hypolipidemic Agents