呼吁在老年糖尿病管理中纳入老年疾病的预防和治疗。

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

作者信息

Vischer U-M, Bauduceau B, Bourdel-Marchasson I, Blickle J-F, Constans T, Fagot-Campagna A, Kaloustian E, Lassman-Vague V, Lecomte P, Simon D, Tessier D, Verny C, Doucet J

机构信息

Department of Rehabilitation and Geriatrics, Faculty of Medicine, University of Geneva, Geneva University Hospitals, Geneva, Switzerland.

出版信息

Diabetes Metab. 2009 Jun;35(3):168-77. doi: 10.1016/j.diabet.2009.02.003. Epub 2009 May 14.

DOI:10.1016/j.diabet.2009.02.003

PMID:19446486

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.

摘要

2型糖尿病的患病率随年龄增长而增加。然而，老年人糖尿病的管理却出人意料地很少受到关注。老年糖尿病与包括营养不良和肌肉减少症、功能障碍、跌倒和骨折、失禁、抑郁和痴呆在内的老年综合征的高风险相关。严格控制血糖以预防血管并发症在老年人中往往价值有限。然而，血糖控制和非药物治疗可能预防糖尿病症状并延缓老年综合征。传统糖尿病并发症和老年综合征的预防、筛查及治疗应纳入管理计划，以优化患者的整体健康状况和生活质量。