Current Geriatrics Reports

, Volume 6, Issue 3, pp 158–167 | Cite as

Prevention of Falls and Frailty in Older Adults with Diabetes

  • Helen P. HazudaEmail author
  • Sara E. Espinoza
Nutrition, Obesity, and Diabetes (H Florez, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Nutrition, Obesity, and Diabetes


Purpose of Review

Type 2 diabetes mellitus (T2DM) is a major risk factor for falls and frailty in older adults. The purpose of this review was to survey, the current literature on risk factors and interventions for prevention of falls and frailty in older adults with T2DM.

Recent Findings

Screening for falls and frailty in the clinical setting is recommended. Exercise to improve balance, strength, and mobility; health education; and diabetes self-management are potential interventions for falls and frailty in older adults with T2DM. Pharmacologic agents are the focus of current studies which may lead to potential future interventions for both falls and frailty.


Evidence-based guidelines and tools for prevention and management of falls and frailty have been developed for clinicians caring for older adults. Because of the reciprocal relationship between falls and frailty, interventions to prevent one may also improve the other geriatric syndrome.


Falls Frailty Type 2 diabetes mellitus Older adults 



Action to Control Cardiovascular Risk in Diabetes


American Diabetes Association


American Geriatrics Society


Area under the curve


British Geriatrics Society


Bone mineral density


Centers for Disease Control


Confidence interval


Dehydroepiandrosterone sulfate


Diabetes support and education


Diabetic peripheral neuropathy


Health-related quality of life


Intensive lifestyle intervention


Lifestyle Interventions and Independence for Elders


Odds ratio


Stopping Elderly Accidents, Deaths, & Injuries


Type 2 diabetes mellitus


Whole body vibration


Compliance with Ethical Standards

Conflict of Interest

Sara Espinoza and Helen Hazuda declare no conflict of interest.

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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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Division of Nephrology, Department of MedicineThe University of Texas Health Science Center at San AntonioSan AntonioUSA
  2. 2.Division of Geriatics, Gerontology & Palliative MedicineDepartment of Medicine, The University of Texas Health Science Center at San AntonioSan AntonioUSA
  3. 3.Barshop Institute for Longevity and Aging StudiesThe University of Texas Health Science Center at San AntonioSan AntonioUSA
  4. 4.Geriatrics Research, Education and Clinical CenterSouth Texas Veterans Health Care SystemSan AntonioUSA

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