老年糖尿病
Diabetes in the Elderly.
作者信息
Kalra Sanjay, Sharma Suresh K
机构信息
Department of Endocrinology, Bharti Hospital, Karnal, India.
College of Nursing, AIIMS, Rishikesh, India.
出版信息
Diabetes Ther. 2018 Apr;9(2):493-500. doi: 10.1007/s13300-018-0380-x. Epub 2018 Feb 19.
Abstract
The elderly are an important and distinct yet heterogeneous group of persons living with diabetes. The elderly have a unique biomedical, psychological, and social constitution. Their needs are different from those of younger adults. This implies that special care must be taken while evaluating and planning their nursing and management. Diabetes management in the elderly should focus on prevention and limitation of geriatric syndromes (medical conditions encountered in elderly persons), hypoglycemia (low blood glucose), and neurocognitive dysfunction (impairment in the functioning of the nervous system and brain). This review takes a practical approach to the assessment, nursing care, and medical treatment of diabetes in the elderly. It highlights major challenges and suggests solutions to these commonly encountered clinical problems.
摘要
老年人是糖尿病患者中一个重要且独特但又具有异质性的群体。老年人具有独特的生物医学、心理和社会构成。他们的需求与年轻人不同。这意味着在评估和规划他们的护理与管理时必须格外小心。老年人的糖尿病管理应侧重于预防和限制老年综合征（老年人中出现的医学状况）、低血糖（血糖过低）以及神经认知功能障碍（神经系统和大脑功能受损）。本综述采用实用方法探讨老年人糖尿病的评估、护理和治疗。它突出了主要挑战，并针对这些常见临床问题提出了解决方案。
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本文引用的文献
1
11. Older Adults: .11. 老年人： 。
Diabetes Care. 2018 Jan;41(Suppl 1):S119-S125. doi: 10.2337/dc18-S011.
2
Forum for Injection Technique and Therapy Expert Recommendations, India: The Indian Recommendations for Best Practice in Insulin Injection Technique, 2017.印度注射技术与治疗专家建议论坛：《2017年印度胰岛素注射技术最佳实践建议》
Indian J Endocrinol Metab. 2017 Jul-Aug;21(4):600-617. doi: 10.4103/ijem.IJEM_97_17.
3
Prevention of hypoglycaemia, the ASAP (Anticipate, Suspect, Act, Prevent) strategy.低血糖的预防，即ASAP（预见、怀疑、行动、预防）策略。
J Pak Med Assoc. 2017 Apr;67(4):648-649.
4
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Curr Vasc Pharmacol. 2017;15(1):19-29. doi: 10.2174/1570161114666160822154816.
5
The law of therapeutic parsimony.治疗简约法则。
Indian J Endocrinol Metab. 2016 May-Jun;20(3):283-4. doi: 10.4103/2230-8210.180008.
6
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7
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