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Current Diabetes Reports

, 19:104 | Cite as

Inpatient Management of T2DM and Hyperglycemia in Older Adults

  • Kristen DeCarlo
  • Amisha WalliaEmail author
Hospital Management of Diabetes (A Wallia and JJ Seley, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Hospital Management of Diabetes

Abstract

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.

Recent Findings

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.

Summary

Further studies, examining both glucose targets and care management assessments and treatment plan specifically targeting older adults in the hospital setting, are needed.

Keywords

Inpatient hypoglycemia Insulin treatment Inpatient diabetes Comprehensive geriatric assessment Older adult 

Notes

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.

References

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Endocrinology, Metabolism and Molecular MedicineNorthwestern University Feinberg School of MedicineChicagoUSA

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