Diabetes Mellitus in Older People: Position Statement on behalf of the International Association of Gerontology and Geriatrics (IAGG), the European Diabetes Working Party for Older People (EDWPOP), and the International Task Force of Experts in Diabetes

被引：310

作者：

Sinclair, Alan ^{[1
]}

Morley, John E. ^{[2
]}

Rodriguez-Manas, Leo ^{[3
]}

Paolisso, Giuseppe ^{[4
]}

Bayer, Tony ^{[5
]}

Zeyfang, Andrej ^{[6
]}

Bourdel-Marchasson, Isabelle

Vischer, Ulrich ^{[7
]}

Woo, Jean ^{[8
]}

Chapman, Ian ^{[9
]}

Dunning, Trisha ^{[10
]}

Meneilly, Graydon ^{[11
]}

Rodriguez-Saldana, Joel ^{[12
]}

Gutierrez Robledo, Luis Miguel ^{[13
]}

Cukierman-Yaffe, Tali ^{[14
]}

Gadsby, Roger ^{[15
]}

Schernthaner, Guntram ^{[16
]}

Lorig, Kate ^{[17
]}

机构：

[1] Univ Bedfordshire, IDOP, Luton LU2 8LE, Beds, England

[2] St Louis Univ, Sch Med, Div Geriatr Med, St Louis, MO 63104 USA

[3] Hosp Univ Getafe, Dept Geriatr, IAGG, Getafe, Spain

[4] Univ Naples 2, Dept Geriatr Med & Metab Dis, Naples, Italy

[5] Cardiff Univ, Sch Med, Cochrane Inst Primary Care & Publ Hlth, Cardiff, Wales

[6] Agaples Bethesda Hosp, Dept Internal Med & Geriatr, Stuttgart, Germany

[7] Univ Hosp Geneva, Dept Geriatr, Geneva, Switzerland

[8] Chinese Univ Hong Kong, Dept Med & Therapeut, Hong Kong, Hong Kong, Peoples R China

[9] Univ Adelaide, Fac Hlth Sci, Discipline Med, Adelaide, SA 5005, Australia

[10] Geelong Hosp, Deakin Univ & Barwon Hlth, Geelong, Vic, Australia

[11] Univ British Columbia, Dept Med, Vancouver, BC, Canada

[12] Serv Salud Hidalgo, Ctr Invest, Pachuca Hidalgo, Mexico

[13] Inst Nacl Salud, Inst Nacl Geriatria, Mexico City, DF, Mexico

[14] Tel Aviv Univ, Sheba Med Ctr, Gertner Inst Epidemiol, Inst Endocrinol, Tel Aviv, Israel

[15] Univ Bedfordshire, IDOP, Univ Warwick, Warwick Med Sch, Warwick, England

[16] Univ Vienna, Rudolfstiftung Hosp, Vienna, Austria

[17] Stanford Univ, Dept Med, Patient Educ Res Ctr, Sch Med, Stanford, CA 94305 USA

来源：

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | 2012年 / 13卷 / 06期

关键词：

Diabetes mellitus; elderly; older people; position statement; consensus; recommendations;

D O I：

10.1016/j.jamda.2012.04.012

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Diabetes mellitus is a highly prevalent metabolic condition in ageing societies associated with high levels of morbidity, multiple therapies, and functional deterioration that challenges even the best of health care systems to deliver high-quality, individualized care. Most international clinical guidelines have ignored the often-unique issues of frailty, functional limitation, changes in mental health, and increasing dependency that characterize many aged patients with diabetes. A collaborative Expert Group of the IAGG and EDWPOP and an International Task Force have explored the key issues that affect diabetes in older people using a robust method comprising a Delphi process and an evidence-based review of the literature. Eight domains of interest were initially agreed and discussed: hypoglycemia, therapy, care home diabetes, influence of comorbidities, glucose targets, family/carer perspectives, diabetes education, and patient safety. A set of "consensus" statements was produced in each domain of interest. These form a foundation for future policy development in this area and should influence the clinical behavior and approach of all health professionals engaged in delivering diabetes care to older people. Copyright (C) 2012 - American Medical Directors Association, Inc.

引用

页码：497 / 502

页数：6