Beth Israel Deaconess Medical Center, Boston, MA, USA.
Curr Diab Rep. 2014 Mar;14(3):464. doi: 10.1007/s11892-013-0464-y.
With the aging of the population and longer life expectancies, the prevalence of population with multiple chronic medical conditions has increased. Difficulty managing these conditions as people age (because of changes in physical, functional, or cognitive abilities and the complexity of many treatment regimens), has led to more individuals with multiple medical conditions admitted to the long-term care facilities. Older adults with diabetes residing in the long-term facilities represent the most vulnerable of this cohort. Studies that specifically target diabetes management in older population are lacking and those that target diabetes management in the long-term care facilities are even fewer. The lack of knowledge regarding the care of the elderly residing in long-term care with diabetes may lead to treatment failure and higher risk of hyperglycemia, as well as hypoglycemia. In aging populations, hypoglycemia has the potential for catastrophic consequences. To avoid this, the management of older population with diabetes and other medical comorbidities residing in long-term care facilities requires a more holistic approach compared with focusing on individual chronic disease goal achievement.
随着人口老龄化和预期寿命的延长，患有多种慢性疾病的人群患病率有所增加。随着人们年龄的增长（由于身体、功能或认知能力的变化以及许多治疗方案的复杂性），这些人在管理这些疾病方面遇到了困难，导致更多患有多种疾病的人被送往长期护理机构。在长期护理机构居住的患有糖尿病的老年人是这一群体中最脆弱的人群。专门针对老年人群的糖尿病管理研究缺乏，针对长期护理机构的糖尿病管理研究更是少之又少。由于缺乏对长期护理机构中患有糖尿病的老年人的护理知识，可能导致治疗失败和高血糖以及低血糖的风险增加。在老龄化人口中，低血糖有可能产生灾难性的后果。为了避免这种情况，与关注单个慢性疾病目标的实现相比，需要采取更全面的方法来管理长期护理机构中患有糖尿病和其他合并症的老年人群。
