Search
diabetes in the elderly
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
General
diabetes mellitus type 1 (insulin-dependent, juvenile)
diabetes mellitus type 2 (insulin-resistant)
References
- american diabetes association
older adults: standards of medical care in diabetes-2021
diabetes care 2021;44(supplement_1):s168-s179
pubmed: 33298423
- 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: 36220195 PMCID: PMC9472121 Free PMC article
https://drc.bmj.com/content/10/5/e002894
- 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: 37218376
https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.18397