title: [Comprehensive geriatric assessment for management of the elderly with diabetes mellitus].
abstract: In medical care for the elderly patients with diabetes mellitus, there are many cases that are not indicated for active treatment, because of their impairment of activity of daily living (ADL), instrumental ADL and cognitive function, and also the presence of some complications, such as cerebrovascular disorder. On the other hand, poor glycemic control is easy to induce dehydration, bacterial infection, and cognitive disorders in the elderly. Thus, it is necessary to maintain good glycemic control to preserve better ADL. However, compulsion of strict glycemic control might rather decrease QOL of the patient. To solve such a medical dilemma, the comprehensive geriatric assessment (CGA) is useful for the individual diabetic patient.
authors.affiliation: Division of General Outpatient Services, National Hospital for Geriatric Medicine.
authors.forename: Hisayuki
authors.initials: H
authors.lastname: Miura
authors.forename: Shosuke
authors.initials: S
authors.lastname: Satake
authors.forename: Michiko
authors.initials: M
authors.lastname: Fujisawa
authors.forename: Hiroko
authors.initials: H
authors.lastname: Kamitani
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Endo
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D002318:Cardiovascular Diseases; D003072:Cognition Disorders; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D007003:Hypoglycemia / Q000139:chemically induced; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000009:adverse effects; D011788:Quality of Life
chemical_list: D007004:Hypoglycemic Agents