Kalra Sanjay, Sharma Suresh K
Department of Endocrinology, Bharti Hospital, Karnal, India.
College of Nursing, AIIMS, Rishikesh, India.
Diabetes Ther. 2018 Apr;9(2):493-500. doi: 10.1007/s13300-018-0380-x. Epub 2018 Feb 19.
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.
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。
