title: Management of diabetes in the elderly.
abstract: Management of diabetes in the elderly necessitates careful consideration of concomitant geriatric syndromes and comorbid conditions that increase the risk of complications, including severe hypoglycemia. Whereas healthy older adults can use therapeutic approaches recommended for their younger counterparts, treatment plans for frail elderly patients need to be simplified and A1c and blood pressure goals relaxed with the development of impairments in function, cognition, vision, and dexterity. The goals of diabetes management in the elderly should be to maintain quality of life and minimize symptomatic hyperglycemia and drug side effects, including hypoglycemia.
authors.affiliation: Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Bansal
authors.affiliation: Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA.
authors.forename: Ruban
authors.initials: R
authors.lastname: Dhaliwal
authors.affiliation: Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. Electronic address: weinstor@upstate.edu.
authors.forename: Ruth S
authors.initials: RS
authors.lastname: Weinstock
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D048909:Diabetes Complications / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D007003:Hypoglycemia / Q000453:epidemiology / Q000517:prevention & control; D011788:Quality of Life; D012307:Risk Factors
keywords: Diabetes mellitus; Frailty; Geriatric; Hypertension; Hypoglycemia; Insulin