diabetes in the elderly
Jump to navigation
Jump to search
Management
- if multiple comorbidities, relax glycemic control
- if insulin required, use once daily long-acting insulin
- hypoglycemia is a risk factor for dementia
- increased risk of dementia (12%) vs metformin[2] or DPP4 inhibitor (RR=1.1)[3]
- otherwise see diabetes mellitus type-1 &/or diabetes mellitus type-2
More general terms
References
- ↑ american diabetes association older adults: standards of medical care in diabetes-2021 diabetes care 2021;44(supplement_1):s168-s179 pubmed: 33298423
- ↑ 2.0 2.1 Tucker ME One Type of Older Diabetes Drug Cuts Dementia Risk, Another Ups It. Medscape. Oct 11, 2022 https://www.medscape.com/viewarticle/982256
Tang X et al Use of oral diabetes medications and the risk of incident dementia in US veterans aged >= 60 years with type 2 diabetes. BMJ Open Diabetes Research & Care. 2022 10(5): PMID: https://www.ncbi.nlm.nih.gov/pubmed/36220195 PMCID: PMC9472121 Free PMC article https://drc.bmj.com/content/10/5/e002894 - ↑ 3.0 3.1 Wu CW, Iskander C, Wang C et al Association of sulfonylureas with the risk of dementia: A population-based cohort study. J Am Geriatr Soc. 2023. Oct;71(10):3059-3070 PMID: https://www.ncbi.nlm.nih.gov/pubmed/37218376 https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.18397