New Guidelines for Elderly Diabetic Patients.

Lee,  Jihyun

doi:2015.16.2.89

J Korean Diabetes > Volume 16(2); 2015 > Article

Statement

The Journal of Korean Diabetes 2015;16(2):89-100.
DOI: https://doi.org/10.4093/jkd.2015.16.2.89 Published online June 30, 2015.

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이지현

New Guidelines for Elderly Diabetic Patients.

Jihyun Lee

Department of Internal Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea. jhlee9@cu.ac.kr

Abstract

The proportion of the population aged 65 years and older has increased, and at least 20% of people in that age group have diabetes. This percentage is expected to increase rapidly in the future. Elderly people with diabetes have a higher incidence of heart disease and cerebrovascular disease, resulting in decreased quality of life and increased mortality and morbidity. It is important to manage diabetes in the elderly when it is concomitant with geriatric syndromes, such as depression, polypharmacy, cognitive dysfunction, urinary incontinence, and falling. Before determining target blood glucose levels and drug regimens, the co-morbidities, complications, and individual circumstances of each patient should be assessed. Before determining target blood glucose levels and drug regimens, the co-morbidities, complications, and individual circumstances of each patient should be assessed. In conjunction with the control of classical cardiovascular risk factors, such as blood pressure and dyslipidemia, these assessments can reduce the morbidity and mortality of diabetes further. Many clinical studies on blood glucose control are required and the results will be helpful in the management of elderly diabetic patients.

Key Words: Cardiovascular diseases, Diabetes mellitus, Geriatrics