Achieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options

Ye-Fong Du,1 Horng-Yih Ou,1 Elizabeth A Beverly,2 Ching-Ju Chiu3 1Division of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan; 2Department of Social Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens, OH,...

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Autores principales:	Du YF, Ou HY, Beverly EA, Chiu CJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	glycemic control type 2 diabetes elderly Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/bb21eb9408ee40d18e63de81c6a88b21
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spelling	oai:doaj.org-article:bb21eb9408ee40d18e63de81c6a88b212021-12-02T02:47:06ZAchieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options1178-1998https://doaj.org/article/bb21eb9408ee40d18e63de81c6a88b212014-11-01T00:00:00Zhttps://www.dovepress.com/achieving-glycemic-control-in-elderly-patients-with-type-2-diabetes-a--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Ye-Fong Du,1 Horng-Yih Ou,1 Elizabeth A Beverly,2 Ching-Ju Chiu3 1Division of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan; 2Department of Social Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA; 3Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan Abstract: The prevalence of type 2 diabetes mellitus (T2DM) is increasing in the elderly. Because of the unique characteristics of elderly people with T2DM, therapeutic strategy and focus should be tailored to suit this population. This article reviews the guidelines and studies related to older people with T2DM worldwide. A few important themes are generalized: 1) the functional and cognitive status is critical for older people with T2DM considering their life expectancy compared to younger counterparts; 2) both severe hypoglycemia and persistent hyperglycemia are deleterious to older adults with T2DM, and both conditions should be avoided when determining therapeutic goals; 3) recently developed guidelines emphasize the avoidance of hypoglycemic episodes in older people, even in the absence of symptoms. In addition, we raise the concern of glycemic variability, and discuss the rationale for the selection of current options in managing this patient population. Keywords: glycemic target, glycemic variability, blood glucose, frailtyDu YFOu HYBeverly EAChiu CJDove Medical Pressarticleglycemic controltype 2 diabeteselderlyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 1963-1980 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	glycemic control type 2 diabetes elderly Geriatrics RC952-954.6
spellingShingle	glycemic control type 2 diabetes elderly Geriatrics RC952-954.6 Du YF Ou HY Beverly EA Chiu CJ Achieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options
description	Ye-Fong Du,1 Horng-Yih Ou,1 Elizabeth A Beverly,2 Ching-Ju Chiu3 1Division of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan; 2Department of Social Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA; 3Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan Abstract: The prevalence of type 2 diabetes mellitus (T2DM) is increasing in the elderly. Because of the unique characteristics of elderly people with T2DM, therapeutic strategy and focus should be tailored to suit this population. This article reviews the guidelines and studies related to older people with T2DM worldwide. A few important themes are generalized: 1) the functional and cognitive status is critical for older people with T2DM considering their life expectancy compared to younger counterparts; 2) both severe hypoglycemia and persistent hyperglycemia are deleterious to older adults with T2DM, and both conditions should be avoided when determining therapeutic goals; 3) recently developed guidelines emphasize the avoidance of hypoglycemic episodes in older people, even in the absence of symptoms. In addition, we raise the concern of glycemic variability, and discuss the rationale for the selection of current options in managing this patient population. Keywords: glycemic target, glycemic variability, blood glucose, frailty
format	article
author	Du YF Ou HY Beverly EA Chiu CJ
author_facet	Du YF Ou HY Beverly EA Chiu CJ
author_sort	Du YF
title	Achieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options
title_short	Achieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options
title_full	Achieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options
title_fullStr	Achieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options
title_full_unstemmed	Achieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options
title_sort	achieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/bb21eb9408ee40d18e63de81c6a88b21
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Achieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options

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