Rosiglitazone can be a useful first-line therapy in obese elderly patients, particularly for those patients who cannot tolerate metformin or have a contraindication to it.
It also predisposes to other metabolic, cardiovascular, and cancerous diseases. Pramlintide seems to stimulate the acute first-phase insulin response threshold following food intake. Because elderly patients with diabetes are living longer and are likely to use increasing amounts of scarce health care resources in the next several decades, diabetes in aged adults may ultimately prove to be the most important epidemic of the 21st century.
With the increase of diabetes mellitus among all age populations, with particular impact among the elderly, recent research has focused on the role of education in preventing diabetes and related complications.
Incretin-based therapies Dipeptidylpeptidases-4 DPP-4 inhibitors and glucagon-like peptide-1 GLP-1 receptor agonists seem to be very interesting drugs for elderly as they are associated to low hypoglycemic risk when used alone or as add-on therapy to metformin.
Hypoglycemia is more common with long-acting sulfonylurea drugs such as chlorpropamide, glyburide, and glimepiride.
However, they should be totally avoided in other categories, especially in people with chronic kidney diseases, sarcopenia, and risk of dehydration. Effective communication has been shown to influence patient decisions about their health practices and behaviors associated with health outcomes.
The UK Prospective Diabetes Group 39 demonstrated that control of diabetes in middle-aged subjects reduces the risk of microvascular, and possibly macrovascular, complications. It can be used alone or in association with metformin.
Regular, and sustained reinforcement with encouragement may be required for individuals with type II diabetes for various reasons. The risk of macrovascular events cardiovascular disease, cerebrovascular disease, and peripheral vascular disease is doubled in elderly patients with diabetes when compared with controls 5.
Table 2 Open in a separate window Pramlintide Pramlintide is an amylin synthetic product resembling human amylin used in type 1 and types 2 DM. Implementing treatment guidelines for type 2 diabetes in primary care. A patient-centred approach focused on patients' needs, resources, values and coping strategies is a prerequisite for starting therapeutic patient education.
Ultimately, properly randomized controlled trials will need to be conducted to determine the benefits and cost of optimal glycemic control in elderly persons.
Other contributing factors to the high prevalence of hypoglycemia include lack of knowledge of the warning symptoms of hypoglycemia and reduced awareness of autonomic warning symptoms, even when the patient has been educated regarding the nature of these symptoms 5. On another hand, high blood pressure and dyslipidemia, cerebrovascular, and chronic pulmonary diseases generally coexist with DM in elderly, which increases the risk of poly medication.
AGI can be used alone or in combination with metformin, sulfonylurea or insulin. Its main side effect is fluid retention. If improved glycemic control alters the risk of complications and associated functional disability in aged adults, this intervention could have a profound effect on the quality of life for elderly persons.
Soluble fiber delays glucose absorption from the small intestine and thus may help prevent the spike in blood glucose levels that follow a meal or snack.
The usually recommended daily energy intake for the non-obese diabetic patient is between and calories per day, the average allowance being k calories per day. Their dental problems and change in their taste may also act negatively on their diet.The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society's aim of improving the care for people with diabetes mellitus within the primary-care setting.
· DIET AND DIABETES. The beneficial effect of the dietary pattern on diabetes mellitus and glucose metabolism in general and traditional food pattern was associated with a significant reduction in the risk of developing type-2 eaterypulsetv.com by: Type 2 diabetes mellitus is a major chronic disease worldwide.
Over the next decade, the largest increase in diabetes prevalence is expected to be in those > 75 years eaterypulsetv.com: April Bigelow, Barbara Freeland.
· What is the epidemiology and pathogenesis of diabetes in older adults? According to the most recent surveillance data, the prevalence of diabetes among U.S. adults aged ≥65 years varies from 22 to 33%, depending on the diagnostic criteria used.
Diabetes and education in the elderly.
Diabetes Metab. ;33 Suppl 1:S Diabetes Metab. ;33 Suppl 1:S Rutten G. Diabetes patient education: time for a new eaterypulsetv.com: Kosti Marina. Diabetes mellitus (DM) in the elderly is a chronic disease where self management is a key aspect. This includes lifestyle modification (diet and exercise), medication compliance and Cited by: