Diabetes mellitus in older persons

L. F. Samos, B. A. Roos

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

The relative importance and mechanisms of deficient insulin secretion versus deficient action during aging are still debated. Whatever mechanisms eventually explain the emergence of impaired glucose tolerance during aging, the clinically important extrinsic modifiers of glycemic levels include diet, medications, activity, and chronic illness and stress. Although prospective studies are not available in the elderly, retrospective studies suggest that good blood glucose control reduces the likelihood and severity of stroke, cardiovascular disease, visual impairment, nephropathy, infections, and even cognitive dysfunction. Good control also seems to reduce nocturia, polyuria, and hypovolemia. Therapy of older persons begins with diet, exercise, and oral agents, failing which, insulin is employed. Since many of the newer oral agents carry less risk of hypoglycemia, achieving tighter control in the elderly has become more feasible.

Original languageEnglish (US)
Pages (from-to)791-803
Number of pages13
JournalMedical Clinics of North America
Volume82
Issue number4
DOIs
StatePublished - Jan 1 1998

ASJC Scopus subject areas

  • Medicine(all)

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