Epidemiology and Statistics Branch, Office of the Director of the Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30341-3717, USA.
Am J Public Health. 2012 Aug;102(8):1482-97. doi: 10.2105/AJPH.2011.300616. Epub 2012 Jun 14.
Diabetes (diagnosed or undiagnosed) affects 10.9 million US adults aged 65 years and older. Almost 8 in 10 have some form of dysglycemia, according to tests for fasting glucose or hemoglobin A1c. Among this age group, diagnosed diabetes is projected to reach 26.7 million by 2050, or 55% of all diabetes cases. In 2007, older adults accounted for $64.8 billion (56%) of direct diabetes medical costs, $41.1 billion for institutional care alone. Complications, comorbid conditions, and geriatric syndromes affect diabetes care, and medical guidelines for treating older adults with diabetes are limited. Broad public health programs help, but effective, targeted interventions and expanded surveillance and research and better policies are needed to address the rapidly growing diabetes burden among older adults.
糖尿病（已确诊或未确诊）影响着 1090 万美国 65 岁及以上的成年人。根据空腹血糖或糖化血红蛋白检测，近 8 成人存在某种形式的糖代谢异常。在这一年龄组中，预计到 2050 年，诊断出的糖尿病将达到 2670 万，占所有糖尿病病例的 55%。2007 年，老年人占糖尿病直接医疗费用的 648 亿美元（56%），仅机构护理就占 411 亿美元。并发症、合并症和老年综合征影响着糖尿病的治疗，针对老年糖尿病患者的治疗医学指南也很有限。广泛的公共卫生项目有所帮助，但需要有效的、有针对性的干预措施，扩大监测和研究，并制定更好的政策，以应对老年人中迅速增长的糖尿病负担。
