Diabetes Mellitus: Management

  • W. J. MacLennan
  • N. R. Peden


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.


Glycaemic Control Human Insulin Lactic Acidosis Diabetic Ketoacidosis Oral Hypoglycaemic Agent 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • W. J. MacLennan
    • 1
  • N. R. Peden
    • 2
  1. 1.University of EdinburghEdinburghScotland, UK
  2. 2.Falkirk and District Royal Infirmary, Major’s LoanFalkirkScotland, UK

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