Department of Medical Education, Oregon Health & Science University, Portland, OR 97213, USA.
Diabetes Technol Ther. 2010 Jun;12 Suppl 1:S91-7. doi: 10.1089/dia.2010.0024.
The increasing prevalence of diabetes among elderly patients underscores the importance of matching the most effective therapy for diabetes self-management with patients' cognitive and motor skills, as these diminish with advancing age. Although many geriatric patients state interest in insulin pump therapy for tight glycemic control, few studies have examined the effectiveness, safety, and feasibility of insulin pumps compared to traditional injected insulin therapy in older age groups. It is important, therefore, for physicians to recognize the indications and the age-related barriers to insulin pump therapy in geriatric patients. Indications include glucose variability, hypoglycemia, and poor glycemic control with traditional insulin regimens. Common barriers include poor vision, dexterity, and cognitive status. Successful implementation of insulin pump therapy for older patients requires an experienced diabetes management team that can assess patient needs and tailor therapy in the context of age-related disabilities.
随着老年患者糖尿病患病率的不断上升，如何将最有效的糖尿病自我管理疗法与患者的认知和运动技能相匹配变得尤为重要，因为这些技能会随着年龄的增长而下降。尽管许多老年患者表示对胰岛素泵治疗以实现严格的血糖控制感兴趣，但很少有研究比较了胰岛素泵与传统注射胰岛素治疗在老年人群中的有效性、安全性和可行性。因此，医生需要认识到老年患者使用胰岛素泵治疗的适应证和与年龄相关的障碍。适应证包括血糖波动、低血糖和传统胰岛素方案控制不佳的血糖。常见的障碍包括视力不佳、灵活性差和认知状态不佳。为老年患者成功实施胰岛素泵治疗需要一个有经验的糖尿病管理团队，能够根据与年龄相关的残疾情况评估患者的需求并调整治疗方案。
