[Specific aspects of diabetes management in the elderly].
More than two-thirds of all diabetics in Germany are older than 60, and a considerable number with multimorbidity and functional disorders must be considered "geriatric patients". Geriatric syndromes (e.g. intellectual decline, immobility, incontinence and instability) appear to be closely interrelated to diabetes in the old patient. By achieving close-to-normal control of blood sugar, geriatric syndromes can also be improved. In the case of geriatric diabetics, certain peculiarities in terms of diet, instruction, pharmacotherapy and compliance must receive consideration. In addition to the reduction of sequelae and concomitant diseases, an improvement in quality of life achieved by prolonging the impairment-free intervals is the main therapeutic aim in the elderly patient.
Zeyfang
Andrej
A
Bethesda Geriatrische Klinik, Ulm. andrej.zeyfang@bethesda-ulm.de
D020909:Acarbose / Q000627:therapeutic use; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D048909:Diabetes Complications / Q000175:diagnosis; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy*; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy; D015577:Geriatric Assessment; D005858:Germany; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D008687:Metformin / Q000627:therapeutic use; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D012307:Risk Factors
D007004:Hypoglycemic Agents; D007328:Insulin; D008687:Metformin; D020909:Acarbose