van der Veen E A
Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
Tijdschr Gerontol Geriatr. 1990 Feb;21(1):7-10.
The prevalence of Type II, non insulin dependent, diabetes mellitus of elderly people is high. A clinically relevant perturbation of the glucose metabolism is found in 11% of people aged over 64. The first therapeutic goal - slimming - is often not reached, and oral hypoglycaemic agents are frequently needed. When correctly used, they seldom cause side effects. If metabolic control improves insufficiently (fasting blood glucose depending on age greater than 8 to 11 mmol/l) insulin is indicated. Modern insulin delivery devices (pens) simplify the use of insulin considerably. Monitoring fasting blood glucose, or HbA1c in the case of insulin therapy is necessary every 2 or 3 months. During the regular consultations attention should be paid to blood pressure reading and inspection of the feet. The Dutch Society of Family Practitioners recently produced a handout to standardize the treatment of type II diabetes mellitus.
老年人中II型非胰岛素依赖型糖尿病的患病率很高。在64岁以上的人群中，有11%存在临床上与葡萄糖代谢相关的紊乱。第一个治疗目标——减肥——往往难以实现，经常需要使用口服降糖药。正确使用时，它们很少引起副作用。如果代谢控制改善不足（根据年龄，空腹血糖大于8至11毫摩尔/升），则需要使用胰岛素。现代胰岛素注射装置（笔）大大简化了胰岛素的使用。每2至3个月监测一次空腹血糖，胰岛素治疗时则监测糖化血红蛋白。在定期会诊期间，应注意血压读数和足部检查。荷兰家庭医生协会最近印发了一份手册，以规范II型糖尿病的治疗。
