Reddy Sathya, Hashmi Ardeshir
Cleveland Clinic, 5700 Cooper Foster Park Road, Lorain, OH 44053, USA.
Cleveland Clinic, Center for Geriatric Medicine, 9500 Euclid Avenue, X10, Cleveland, OH 44195, USA.
Clin Geriatr Med. 2020 Aug;36(3):419-429. doi: 10.1016/j.cger.2020.04.003. Epub 2020 Apr 17.
Dementia and type 2 diabetes are a serious public health problem worldwide, with increasing incidence with age. Diabetes is a risk factor for the development of dementia. Having cognitive dysfunction impairs a person's ability to perform self-care tasks. Also, community dwelling adults can have varying levels of functional impairment and can also have other geriatric syndromes. This article presents a multidisciplinary approach and treatment and goals tailored individually to patients with different levels of cognitive and activities of daily living impairments. Three case studies show the management of diabetes in older adults with different levels of care needs.
痴呆症和2型糖尿病是全球严重的公共卫生问题，发病率随年龄增长而上升。糖尿病是痴呆症发展的一个风险因素。认知功能障碍会损害一个人进行自我护理任务的能力。此外，居住在社区的成年人可能有不同程度的功能障碍，也可能患有其他老年综合征。本文提出了一种多学科方法以及针对不同认知和日常生活受损程度患者的个性化治疗和目标。三个案例研究展示了对不同护理需求水平的老年人糖尿病的管理。
