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A call to incorporate the prevention and treatment of geriatric disorders in the management of diabetes in the elderly

Bauduceau, B.
Bourdel-Marchasson, I.
Blickle, J.-F.
Constans, T.
Fagot-Campagna, A.
Kaloustian, E.
Lassman-Vague, V.
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Published in Diabetes & metabolism. 2009, vol. 35, no. 3, p. 168-177
Abstract The prevalence of type 2 diabetes increases with age. However, the management of diabetes in the elderly has received surprisingly little attention. Diabetes in the elderly is associated with a high risk of geriatric syndromes including malnutrition and sarcopenia, functional impairments, falls and fractures, incontinence, depression and dementia. Tight glycaemic control for the prevention of vascular complications is often of limited value in the elderly. However, glycaemic control and non-pharmacological therapy may prevent diabetes symptoms and delay geriatric syndromes. The prevention, screening and treatment of both conventional diabetic complications and geriatric syndromes should be integrated in a management plan to optimize the patients' overall health status and quality of life.
Keywords AgedBlood Glucose/metabolismCognition Disorders/epidemiologyDiabetes Complications/blood/drug therapy/prevention & controlDiabetes Mellitus, Type 1/drug therapy/geneticsDiabetes Mellitus, Type 2/drug therapy/epidemiology/geneticsDisease ProgressionEye Diseases/epidemiology/etiologyGeriatric AssessmentHumansHyperglycemia/prevention & controlIncidenceMalnutrition/epidemiologyMiddle Aged
PMID: 19446486
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Research group Alfediam/SFGG French-speaking group for study of diabetes in the elderly
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VISCHER, Ulrich Max et al. A call to incorporate the prevention and treatment of geriatric disorders in the management of diabetes in the elderly. In: Diabetes & metabolism, 2009, vol. 35, n° 3, p. 168-177. doi: 10.1016/j.diabet.2009.02.003 https://archive-ouverte.unige.ch/unige:5468

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Deposited on : 2010-03-17

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