Fukuoka Yuki, Yamada Yuichiro
Department of Endocrinology, Diabetes and Geriatric Medicine, Akita University Graduate School of Medicine.
Nihon Rinsho. 2013 Nov;71(11):1965-9.
In elderly people, glucose tolerance is deteriorated and the incidence of diabetes mellitus is increased, due to decreased muscle mass and physical activity, declining pancreatic beta cell function, and other factors. Diabetes mellitus is an important risk factor for arteriosclerosis development in the elderly. Precise diagnosis and adequate treatment are necessary to prevent cerebrovascular and ischemic heart diseases. Elderly patients with diabetes mellitus are characteristically afflicted with more complications, impaired activities of daily living, cognitive function decline, and family environment problems, as compared with young and middle-aged diabetics. Therefore, tailor-made rather than uniform therapy becomes important. Lifestyle modification is the basis of diabetes treatment. Herein, we describe "prevention and management" of diabetes mellitus, focusing on the lifestyles of elderly diabetics.
在老年人中,由于肌肉量减少和身体活动量下降、胰腺β细胞功能衰退以及其他因素,葡萄糖耐量会恶化,糖尿病发病率会升高。糖尿病是老年人动脉硬化发展的一个重要危险因素。为预防脑血管疾病和缺血性心脏病,精确诊断和适当治疗是必要的。与年轻及中年糖尿病患者相比,老年糖尿病患者的特征是患有更多并发症、日常生活活动受损、认知功能衰退以及家庭环境问题。因此,量身定制而非统一的治疗变得很重要。生活方式的改变是糖尿病治疗的基础。在此,我们描述糖尿病的“预防与管理”,重点关注老年糖尿病患者的生活方式。