患有糖尿病的老年人与忙碌的临床医生

The Older Adult with Diabetes and The Busy Clinicians.

作者信息

Gopalraj Rangaraj

机构信息

Department of Family & Geriatric Medicine, University of Louisville, 1941 Bishop Lane, Suite 900, Louisville, KY 40218, USA.

出版信息

Prim Care. 2017 Sep;44(3):469-479. doi: 10.1016/j.pop.2017.04.011.

DOI:10.1016/j.pop.2017.04.011

PMID:28797373

Abstract

Busy primary care providers are in the frontline and see the bulk of older adults with diabetes. This vulnerable population is more prone to diabetic complications and hypoglycemia. In contrast to the younger patients with diabetes, lifestyle interventions are even more effective in older adults while the target A1c levels may need to be more relaxed for frail individuals. Geriatric syndromes can adversely affect diabetes care. A team with experts in different fields who understand the needs of older adults is essential for the adequate quality care of the whole individual with diabetes.

摘要

忙碌的基层医疗服务提供者处于一线，诊治了大部分老年糖尿病患者。这一弱势群体更容易出现糖尿病并发症和低血糖。与年轻糖尿病患者相比，生活方式干预对老年人更为有效，而对于体弱个体，糖化血红蛋白（A1c）的目标水平可能需要更宽松一些。老年综合征会对糖尿病护理产生不利影响。一个由了解老年人需求的不同领域专家组成的团队对于为糖尿病患者提供全面优质护理至关重要。