Department of Internal Medicine F, Soroka University Medical Center, Beer-Sheva, Israel.
Diabetes Metab Syndr Obes. 2014 Aug 28;7:391-400. doi: 10.2147/DMSO.S48898. eCollection 2014.
The prevalence of diabetes is rising in the >65 year-old group. The challenge of defining the goals of therapy arises from the heterogeneity of the aging process and the sparse clinical data in this patient population. In light of these challenges, the clinician should be aware of the pitfalls of caring for the older diabetic patient and prioritize an individualized treatment plan to ensure an optimal glycemic control, without placing the patient at unnecessary risk. We present a review of the current guidelines and literature that deal specifically with the treatment of the older diabetic patient in order to establish the principles of treatment in this age group and help the clinician make decisions regarding the care of these patients.
65 岁人群中糖尿病的患病率正在上升。由于衰老过程的异质性和该患者人群中临床数据的缺乏，定义治疗目标的挑战随之而来。有鉴于此，临床医生应该意识到照顾老年糖尿病患者的陷阱，并优先制定个性化的治疗计划，以确保血糖得到最佳控制，而不会使患者面临不必要的风险。我们回顾了目前专门针对老年糖尿病患者治疗的指南和文献，以确定该年龄组的治疗原则，并帮助临床医生做出关于这些患者护理的决策。
