Holistic and Personalized Strategies for Managing in Elderly Type 2 Diabetes Patients.

IF 6.8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Diabetes & Metabolism Journal Pub Date : 2024-07-01 Epub Date: 2024-07-26 DOI:10.4093/dmj.2024.0310
Jae-Seung Yun, Kyuho Kim, Yu-Bae Ahn, Kyungdo Han, Seung-Hyun Ko
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Abstract

Due to increased life expectancy and lifestyle changes, the prevalence of diabetes among the elderly in Korea is continuously rising, as is the associated public health burden. Diabetes management in elderly patients is complicated by age-related physiological changes, sarcopenia characterized by loss of muscle mass and function, comorbidities, and varying levels of functional, cognitive, and mobility abilities that lead to frailty. Moreover, elderly patients with diabetes frequently face multiple chronic conditions that elevate their risk of cardiovascular diseases, cancer, and mortality; they are also prone to complications such as hyperglycemic hyperosmolar state, diabetic ketoacidosis, and severe hypoglycemia. This review examines the characteristics of and management approaches for diabetes in the elderly, and advocates for a comprehensive yet personalized strategy.

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老年 2 型糖尿病患者的整体和个性化管理策略。
由于预期寿命的延长和生活方式的改变,韩国老年人的糖尿病患病率持续上升,相关的公共卫生负担也在不断加重。与年龄相关的生理变化、以肌肉质量和功能丧失为特征的肌肉疏松症、合并症以及不同程度的功能、认知和行动能力导致老年患者体质虚弱,使老年患者的糖尿病管理变得复杂。此外,老年糖尿病患者经常面临多种慢性疾病,这增加了他们罹患心血管疾病、癌症和死亡的风险;他们还容易出现并发症,如高血糖高渗状态、糖尿病酮症酸中毒和严重低血糖。这篇综述探讨了老年糖尿病的特点和管理方法,提倡采取全面而个性化的策略。
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来源期刊
Diabetes & Metabolism Journal
Diabetes & Metabolism Journal Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
10.40
自引率
6.80%
发文量
92
审稿时长
52 weeks
期刊介绍: The aims of the Diabetes & Metabolism Journal are to contribute to the cure of and education about diabetes mellitus, and the advancement of diabetology through the sharing of scientific information on the latest developments in diabetology among members of the Korean Diabetes Association and other international societies. The Journal publishes articles on basic and clinical studies, focusing on areas such as metabolism, epidemiology, pathogenesis, complications, and treatments relevant to diabetes mellitus. It also publishes articles covering obesity and cardiovascular disease. Articles on translational research and timely issues including ubiquitous care or new technology in the management of diabetes and metabolic disorders are welcome. In addition, genome research, meta-analysis, and randomized controlled studies are welcome for publication. The editorial board invites articles from international research or clinical study groups. Publication is determined by the editors and peer reviewers, who are experts in their specific fields of diabetology.
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