Institute of Diabetes for Older People (IDOP), University of Bedfordshire, UK.
J Am Med Dir Assoc. 2012 Jul;13(6):497-502. doi: 10.1016/j.jamda.2012.04.012.
Diabetes mellitus is a highly prevalent metabolic condition in ageing societies associated with high levels of morbidity, multiple therapies, and functional deterioration that challenges even the best of health care systems to deliver high-quality, individualized care. Most international clinical guidelines have ignored the often-unique issues of frailty, functional limitation, changes in mental health, and increasing dependency that characterize many aged patients with diabetes. A collaborative Expert Group of the IAGG and EDWPOP and an International Task Force have explored the key issues that affect diabetes in older people using a robust method comprising a Delphi process and an evidence-based review of the literature. Eight domains of interest were initially agreed and discussed: hypoglycemia, therapy, care home diabetes, influence of comorbidities, glucose targets, family/carer perspectives, diabetes education, and patient safety. A set of "consensus" statements was produced in each domain of interest. These form a foundation for future policy development in this area and should influence the clinical behavior and approach of all health professionals engaged in delivering diabetes care to older people.
糖尿病是老龄化社会中一种高发的代谢性疾病，与高发病率、多种治疗方法以及功能恶化有关，即使是最好的医疗保健系统也难以提供高质量、个性化的护理。大多数国际临床指南都忽略了虚弱、功能受限、心理健康变化和依赖性增加等常见问题，这些问题是许多老年糖尿病患者的特征。IAGG 和 EDWPOP 的一个协作专家小组和一个国际工作组使用一种稳健的方法，包括德尔菲流程和对文献的循证审查，探讨了影响老年人糖尿病的关键问题。最初同意并讨论了八个感兴趣的领域：低血糖、治疗、护理院糖尿病、合并症的影响、血糖目标、家庭/照顾者观点、糖尿病教育和患者安全。在每个感兴趣的领域都制定了一套“共识”声明。这些声明构成了该领域未来政策制定的基础，应该影响所有从事老年糖尿病护理的卫生专业人员的临床行为和方法。
