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16 gru 2021 · Older adults with diabetes have higher rates of premature death, functional disability, accelerated muscle loss, and coexisting illnesses, such as hypertension, coronary heart disease, and stroke, than those without diabetes.
In the older person with diabetes and multiple comorbidities and/or frailty, strategies should be used to strictly prevent hypoglycemia, which include the choice of antihyperglycemic therapy and a less stringent glycated hemoglobin (A1C) target.
In this review, we will outline the diagnostic approach to polyuria, revisit the caveats of the water deprivation test and review recent data on value of adding AVP/copeptin measurement. We will also discuss treatment strategies for CDI, with analysis of potential complications of treatment.
We discuss the management of CDI with particular emphasis on management of fluid intake and pharmacological replacement of AVP. Specific clinical syndromes such as adipsic diabetes insipidus and diabetes insipidus in pregnancy as well as management of the perioperative patient with diabetes insipidus are also discussed.
23 lis 2014 · Three factors have been identified that increase the value of screening for diabetes: older than 55 years of age, systolic blood pressure of 130 mm Hg or higher, or a BMI higher than 35 kg/m 2, 36 which shows that in older people obesity should not be the only reason to screen for diabetes.
23 mar 2019 · 1.2 In patients aged 65 years and older with diabetes, an endocrinologist or diabetes care specialist should be primarily responsible for diabetes care if the patient has type 1 diabetes, or requires complex hyperglycemia treatment to achieve treatment goals, or has recurrent severe hypoglycemia, or has multiple diabetes complications.
1 mar 2019 · The 2019 guideline on treatment of diabetes in older adults: Provides recommendations for the screening, diagnosis, and treatment of diabetes in older adults ; Provides recommendations for older patients with diabetes and macro and microvascular co-morbidities; Emphasizes shared-decision making and lesser targets/goals depending on health condition
