Inpatient Management of T2DM and Hyperglycemia in Older Adults
Purpose of Review
This review aims to provide a summary of the evaluation and treatment of older adults (≥ 65 years) with type 2 diabetes and/or hyperglycemia in the hospital.
Caring for these older adults requires special considerations. Diabetes is a risk factor for hospitalization and hyperglycemia in the hospital is associated with increased complications and mortality. Treatment plans for hospitalized older adults with diabetes should include a comprehensive geriatric assessment. This team-based approach aims to develop an individualized care plan, with consideration of the patients’ personal goals, comorbidities, functional status, life expectancy, and hypoglycemia risk. Studies from hospitalized middle age and older adults with hyperglycemia can help guide diabetes treatment goals and management in older adults.
Further studies, examining both glucose targets and care management assessments and treatment plan specifically targeting older adults in the hospital setting, are needed.
KeywordsInpatient hypoglycemia Insulin treatment Inpatient diabetes Comprehensive geriatric assessment Older adult
Compliance with Ethical Standards
Conflict of Interest
Kristen DeCarlo declares no conflict of interest. Amisha Wallia receives grants from Novo Nordisk and serves as research investigator for studies for United Health Group and Eli Lilly.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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