Department of Family Medicine, University of Michigan, Ann Arbor, MI 48109-2007, USA.
Clin Geriatr Med. 2009 Nov;25(4):607-41, vii-viii. doi: 10.1016/j.cger.2009.09.001.
Cardiovascular disease is the major cause of death as well as a leading cause of disability and impaired quality of life in older adults with diabetes. Therefore, preventing cardiovascular events in this population is an important goal of care. Available evidence supports the use of lipid-lowering agents and treatment of hypertension as effective measures to reduce cardiovascular risk in older adults with diabetes. Glucose control, smoking cessation, weight control, regular physical activity, and a prudent diet are also recommended, although data supporting the efficacy of these interventions are limited. While reducing cardiovascular morbidity and mortality remains a primary objective of preventive cardiology in older adults with diabetes, the impact of these interventions on functional well-being, cognition, and other geriatric syndromes requires further study.
心血管疾病是导致糖尿病老年患者死亡的主要原因，也是导致残疾和生活质量下降的主要原因。因此，预防这一人群的心血管事件是护理的重要目标。现有证据支持使用降脂药物和治疗高血压作为降低糖尿病老年患者心血管风险的有效措施。还建议控制血糖、戒烟、控制体重、定期进行身体活动和合理饮食，尽管支持这些干预措施疗效的数据有限。虽然降低心血管发病率和死亡率仍然是糖尿病老年患者预防心脏病学的主要目标，但这些干预措施对功能健康、认知和其他老年综合征的影响仍需要进一步研究。
