Diabetes in elderly adults

被引:147
作者
Meneilly, GS
Tessier, D
机构
[1] Univ British Columbia, Dept Med, Div Geriatr Med, Vancouver, BC, Canada
[2] Univ Sherbrooke, Dept Med, Div Geriatr Med, Sherbrooke, PQ J1K 2R1, Canada
来源
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES | 2001年 / 56卷 / 01期
关键词
D O I
10.1093/gerona/56.1.M5
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 is common in the elderly population. By the age of 75, approximately 20% of the population are afflicted with this illness. Diabetes in elderly adults is metabolically distinct from diabetes in)younger patient populations, and the approach to therapy needs to be different in this age group. Diabetes is associated with substantial morbidity from macro- and microvascular complications. Several lines of evidence suggest that optimal glycemic control and risk factor modification can substantially reduce the risk of complications in elderly patients. In the past, treatment options were limited. However, recent studies have delineated several new and exciting therapeutic opportunities for elderly patients with diabetes.
引用
收藏
页码:M5 / M13
页数:9
相关论文
共 70 条
[1]   Safety of human insulin in poor-sighted elderly diabetic patients [J].
Altman, JJ ;
Elian, N ;
Bonnemaire, M ;
Calmar, S ;
Feldman, S .
DIABETES CARE, 1999, 22 (12) :2089-2089
[2]   DIFFERENT ETIOLOGIES OF TYPE-2 (NON-INSULIN-DEPENDENT) DIABETES-MELLITUS IN OBESE AND NONOBESE SUBJECTS [J].
ARNER, P ;
POLLARE, T ;
LITHELL, H .
DIABETOLOGIA, 1991, 34 (07) :483-487
[3]   BENEFIT AND COST-ANALYSIS IN GERIATRIC CARE - TURNING AGE-DISCRIMINATION INTO HEALTH-POLICY [J].
AVORN, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1984, 310 (20) :1294-1301
[4]   Isolated postchallenge hyperglycemia and the risk of fatal cardiovascular disease in older women and men - The Rancho Bernardo Study [J].
Barrett-Connor, E ;
Ferrara, A .
DIABETES CARE, 1998, 21 (08) :1236-1239
[5]   Cardiovascular disease in older adults with glucose disorders: comparison of American Diabetes Association criteria for diabetes mellitus with WHO criteria [J].
Barzilay, JI ;
Spiekerman, CF ;
Wahl, PW ;
Kuller, LH ;
Cushman, M ;
Furberg, CD ;
Dobs, A ;
Polak, JF ;
Savage, PJ .
LANCET, 1999, 354 (9179) :622-625
[6]  
Beebe K, 1999, DIABETES, V48, pA111
[7]   Drug-induced hypoglycemic coma in 102 diabetic patients [J].
Ben-Ami, H ;
Nagachandran, P ;
Mendelson, A ;
Edoute, Y .
ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (03) :281-284
[8]   Role of glucose effectiveness in the determination of glucose tolerance [J].
Best, JD ;
Kahn, SE ;
Ader, M ;
Watanabe, RM ;
Ni, TC ;
Bergman, RN .
DIABETES CARE, 1996, 19 (09) :1018-1030
[9]   A COMPARISON OF PREMIXED INSULIN PREPARATIONS IN ELDERLY PATIENTS - EFFICACY OF 70/30 AND 50/50 HUMAN INSULIN MIXTURES [J].
BRODOWS, R ;
CHESSOR, R .
DIABETES CARE, 1995, 18 (06) :855-857
[10]   Low-dose ethanol predisposes elderly posted patients with type 2 diabetes to sulfonylurea-induced low blood glucose [J].
Burge, MR ;
Zeise, TM ;
Sobhy, TA ;
Rassam, AG ;
Schade, DS .
DIABETES CARE, 1999, 22 (12) :2037-2043