CMED 2419, Central Michigan University, Mt. Pleasant, MI 48859, USA.
Clin Geriatr Med. 2020 Aug;36(3):379-384. doi: 10.1016/j.cger.2020.04.011. Epub 2020 Apr 18.
In the United States, 4 out of 10 adults with diabetes are ≥65 years of age. The older adult with diabetes is very likely to be asymptomatic and also at higher risk of vascular disease. New concerns include new diagnosis of diabetes for older adults admitted to hospital and older adults in long-term care facilities. The pathophysiology for increased incidence of diabetes in older adults is multifactorial, but dominant features are increased likelihood of metabolic syndrome, dysfunctional insulin secretion, and peripheral insulin resistance. Society in general benefits from more cost-effective care of older adults with diabetes.
在美国，每 10 名成年糖尿病患者中就有 4 名年龄≥65 岁。老年糖尿病患者很可能没有症状，而且患血管疾病的风险更高。新出现的问题包括住院的老年患者新诊断出糖尿病以及长期护理机构中的老年人。导致老年人糖尿病发病率增加的病理生理学是多因素的，但主要特征是代谢综合征的可能性增加、胰岛素分泌功能障碍和外周胰岛素抵抗。总的来说，社会受益于更具成本效益的老年糖尿病患者护理。
