Care of older people with diabetes

Nursing Standard
Trisha Dunning

Abstract

The global population is ageing, and increasingly developing long-term conditions and comorbidities associated with functional changes, reduced quality of life and reduced life expectancy. Diabetes mellitus is a common long-term condition in older people, with many individuals experiencing microvascular and/or macrovascular complications, alongside frailty and dementia. Symptoms of conditions such as hypoglycaemia and hyperglycaemia may change as a result of older age and long duration of, and complications associated with, diabetes; therefore, such symptoms can be challenging to recognise in older people. Consequently, treatment might be delayed, which can result in further deterioration and harm for older people. Managing diabetes is often challenging for older people with the condition and their family carers and nurses. One of the main challenges for healthcare professionals is deciding safe blood glucose and glycated haemoglobin ranges for the individual to avoid over-treatment that can lead to hypoglycaemia or under-treatment that can lead to hyperglycaemia and associated adverse effects. This article outlines the issues that nurses should consider when caring for older people with diabetes, and emphasises the importance ...Continue Reading

References

Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
May 2, 2002·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Kenneth M LangaA Mark Fendrick
Oct 9, 2002·Journal of the American Geriatrics Society·Donna M FickSharon K Inouye
Dec 28, 2002·Diabetes Care·David E GoldsteinUNKNOWN American Diabetes Association
Feb 13, 2004·The New England Journal of Medicine·Kitt Falk PetersenGerald I Shulman
Sep 1, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Kenneth RockwoodArnold Mitnitski
Dec 24, 2005·Critical Care Medicine·Greg S MartinMarc Moss
Apr 4, 2007·The Journal of Clinical Investigation·Philip E Cryer
Nov 1, 2007·Journal of the American Geriatrics Society·Joan M NelsonPaul F Cook
Jan 26, 2008·International Journal of Clinical Pharmacology and Therapeutics·P GallagherD O'Mahony
Apr 4, 2008·Journal of the American Geriatrics Society·Leslie A WeiSharon K Inouye
Jun 10, 2008·The New England Journal of Medicine·Anushka PatelFlorence Travert
Jun 10, 2008·The New England Journal of Medicine·UNKNOWN Action to Control Cardiovascular Risk in Diabetes Study GroupWilliam T Friedewald
Sep 23, 2008·Diabetes Research and Clinical Practice·M ThunanderM Landin-Olsson
Dec 19, 2008·The New England Journal of Medicine·William DuckworthUNKNOWN VADT Investigators
Apr 8, 2010·Journal of the American Geriatrics Society·Leon FlickerOsvaldo P Almeida
Apr 16, 2010·Age and Ageing·Alfonso J Cruz-JentoftUNKNOWN European Working Group on Sarcopenia in Older People
Jul 14, 2010·Age and Ageing·Kornelis J J van HaterenHenk J G Bilo
Aug 21, 2010·Endocrinology and Metabolism Clinics of North America·David M MaahsElizabeth J Mayer-Davis
Sep 24, 2010·Internal Medicine Journal·N W Cheung, D R Chipps
Mar 4, 2011·The New England Journal of Medicine·Sreenivasa Rao Kondapally SeshasaiUNKNOWN Emerging Risk Factors Collaboration
Jun 8, 2012·Diabetes Technology & Therapeutics·Janet K Snell-Bergeon, R Paul Wadwa
Jun 16, 2012·Diabetes Care·Aris SiafarikasElizabeth A Davis
Oct 27, 2012·Diabetes Care·M Sue KirkmanCarrie S Swift
Feb 12, 2013·Lancet·Andrew CleggKenneth Rockwood
Jun 12, 2013·JAMA Internal Medicine·Kristine YaffeUNKNOWN Health ABC Study
Mar 31, 2015·Aging and Disease·Ahmed H AbdelhafizAlan J Sinclair
Feb 1, 2014·Diabetes Spectrum : a Publication of the American Diabetes Association·Ruban Dhaliwal, Ruth S Weinstock
Oct 9, 2015·Journal of the American Geriatrics Society·UNKNOWN By the American Geriatrics Society 2015 Beers Criteria Update Expert Panel
Apr 8, 2016·Immunity & Ageing : I & a·Giuseppe PassarinoAlberto Montesanto
Apr 22, 2016·Diabetes & Metabolism Journal·Hak Chul Jang
Aug 31, 2016·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Kristin LitzelmanJulia H Rowland
Jun 2, 2017·The Medical Journal of Australia·Joseph E IbrahimDavid L Ranson
Jun 8, 2017·BMC Family Practice·Mariam Molokhia, Azeem Majeed

❮ Previous
Next ❯

Citations

Jun 27, 2021·Nature Reviews. Endocrinology·Srikanth BellaryClifford J Bailey

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aging & Diabetes

This feed focuses on the role of the aging process on developing diabetes.

Age-related Dementia

Dementias are a group of conditions, including Alzheimer's disease, vascular dementia, and frontotemporal dementia, characterized by deficiencies in cognitive abilities. Age-related dementia refers to dementias that occur in older individuals, usually 60+ years old, in contrast to early-onset dementia. Follow the latest research on age-related dementia here.

Cell Aging (Keystone)

This feed focuses on cellular aging with emphasis on the mitochondria, autophagy, and metabolic processes associated with aging and longevity. Here is the latest research on cell aging.

Aging Epidemiology

This feed focuses on epidemiology of aging and aging-related conditions, including Alzheimer’s disease, dementia, and age-associated cognitive impairment. Here is the latest research.