Key priorities in managing glucose control in older people with diabetes

被引:21
作者
Bourdel-Marchasson, I. [1 ,2 ]
Doucet, J. [3 ,4 ]
Bauduceau, B. [5 ]
Berrut, G. [6 ,7 ]
Blickle, J. -F. [8 ,9 ]
Brocker, P. [10 ]
Constans, T. [11 ,12 ]
Fagot-Campagna, A. [13 ]
Kaloustian, E. [14 ]
Lassmann-Vague, V. [15 ]
Lecomte, P. [11 ,12 ]
Simon, D. [16 ]
Tessier, D. [17 ]
Verny, C. [18 ]
Vischer, U. M. [19 ,20 ]
机构
[1] CHU Bordeaux, Pessac, France
[2] Univ Victor Segalen Bordeaux 2, CNRS, UMR 5536, Bordeaux, France
[3] CHU Rouen, Rouen, France
[4] Univ Rouen, Rouen, France
[5] Hop Instruct Armees Begin, St Mande, France
[6] CHU Nantes, F-44035 Nantes 01, France
[7] Univ Nantes, Nantes, France
[8] Univ Strasbourg, Strasbourg, France
[9] Hop Univ Strasbourg, Strasbourg, France
[10] CHU Nice, Nice, France
[11] CHU Tours, Tours, France
[12] Univ Tours, Tours, France
[13] InVS, French Inst Publ Hlth Surveillance, St Maurice, France
[14] Ctr Hosp Compiegne, Compiegne, France
[15] Ctr Sante Mutualiste, Marseille, France
[16] Hop La Pitie Salpetriere, APHP, Paris, France
[17] Sherbrooke Geriatr Univ Inst, Biogerontol Lab, Res Ctr Aging, Sherbrooke, PQ, Canada
[18] CHU Bicetre, APHP, Le Kremlin Bicetre, France
[19] Univ Geneva, Fac Med, Dept Rehabil & Geriatr, CH-1211 Geneva 4, Switzerland
[20] Univ Hosp Geneva, Geneva, Switzerland
关键词
Prevention; comprehensive gerontological assessment; frailty; CARDIOVASCULAR RISK; DISABILITY; PREVALENCE; MELLITUS; DISEASE; STATES;
D O I
10.1007/s12603-009-0198-3
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
Older people with diabetes represent a major and increasing proportion of our elderly population and their care requires better organisation. Targets for risk factor control and pathways of care must be adjusted to the subject's general health status. It is thus advisable to screen for frailty. We have carried out a detailed literature review of the studies published on diabetes in older people since 1990. Studies were considered if they included groups or subgroups of diabetic patients > 65 years old. This review discusses the elaboration of general targets for care, the approach to risk factor control, the screening and the specific prevention or management of complications, the integration of geriatric concepts in diabetes care and the specificity of education with respect to frailty status.
引用
收藏
页码:685 / 691
页数:7
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