Diabetes Mellitus: Management
The treatment of diabetes in the elderly differs from that in the young in that there is much more emphasis on the management of the non-insulin-dependent (NIDD) patients. There also is the issue of the extent to which the prevention of long-term complications should outweigh immediate convenience in patients with a limited life expectancy. Consideration also has to be given to the effects which ageing and disease have upon the metabolism, excretion and end-organ responses to hypoglycaemic agents. Finally, there may be problems of ensuring compliance with treatment in mentally and physically frail individuals. They may have greater difficulty than younger patients in understanding the nature and management of diabetes, and using such techniques as the self-monitoring of blood glucose levels.
KeywordsGlycaemic Control Human Insulin Lactic Acidosis Diabetic Ketoacidosis Oral Hypoglycaemic Agent
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- Berger W (1971) 88 Schwere Hypoglykamiezwischenfalle unter der Behandlung mit Sulfonylhams-toppen. SchweizMed Wochenschr71:1013–1022Google Scholar
- Dontas AS (1984) Urinary tract infections and their implications. In: Brocklehurst JC (ed) Urology in the elderly. Churchill Livingstone, London, pp 162–192Google Scholar
- Feely BJ, Hartman LJ, Hampson AW, Proietto J (1984) Influenza immunisation in adults with diabetes mellitus. Diabetes Care 6: 475–478Google Scholar
- Gill GV, Alberti KGMM (1985a) Management of diabetic ketoacidosis. Practical Diabetes 2:115–120Google Scholar
- Gill GV, Alberti KGMM (1985b) Hyperosmolar non-ketotic coma. Practical Diabetes 2:20–35Google Scholar
- Gill GV, Alberti KGMM (1985c) Lactic acidosis. Practical Diabetes 2:15–19Google Scholar
- Knight PV, Cummins AG, Kesson CM (1983) Elderly diabetics: a case for education. J Clin Exp Gerontol 5:285–294Google Scholar
- MacLennan WJ, Shepherd AN, Stevenson IH (1984) Treatment in clinical medicine: the elderly. Springer-Verlag, Berlin Heidelberg New York, pp 42–50Google Scholar
- Peden N, Newton RW, Feely J (1983) Oral hypoglycaemic agents. In: Feely J (ed) New drugs. British Medical Association, London, pp 106–113Google Scholar
- Registrar General Scotland (1984) Annual report. HMSO, London, p 94Google Scholar