November 20, 2012

Management of Type 2 Diabetes in Older Adults

by

The Diabetes & Metabolism Journal online published a study on the future condition whereby the majority of patients with diabetes will be adults aged 65 or older. This study looks at the potential concerns affecting this age group and steps to improve the outcome.

Elderly people with diabetes are affected by an array of conditions beyond the glucose imbalance suffered across the board of ages. They experience depression, cognitive impairment, muscle weakness, falls and fractures, and physical frailty.

The treatment goals in older adults with diabetes should transcend the trilogy of diet, exercise, and medications. They should include aggressive steps to manage the possible conditions that affect the elderly. More importantly, the study also explains the advantages and disadvantages of various glucose-lowering agents that should be considered when choosing a proper regimen for older adults with diabetes.

The choice of medication should be based on efficacy and safety. Special attention needs to be focused on adverse effects, particularly hypoglycemia. Given the selection pool for Type 2 diabetes drugs, whether the perfect fit is a drug containing metformins, sulfonylurea,or an incretin, DPP-4 inhibitor, GLP-1, TZD, or any of the others -the right combinations is out there.

With great power comes great responsibility. Too much is at stake to take diabetes control in the elderly lightly. It doesn’t just apply to Spiderman, these words ring true in elderly diabetes.

Visit Your Diabetes Health for more resources about health.
  • Ppatten27

    Some of us type 1’s have lived to or past 65, and face some of the same aging problems without the choice of glucose lowering agents type 2’s might have. In fact, most treatment plans for ‘elderly’ diabetics are type 2 treatments which may or may not apply to an ‘elderly’ type 1. I hope in the future more studies in the 65 and older age group will consider how their results apply or not to type 1.