Caring for older people with diabetes in primary care

Authors

  • Mark Kennedy

DOI:

https://doi.org/10.1080/20573316.2017.1352143

Keywords:

Diabetes, Primary care, Older people

Abstract

This paper considers some of the issues related to the management of older people with diabetes in the context of primary care. The majority of older people with diabetes will receive their care in primary care settings. This paper outlines some of the key considerations in delivering diabetes care in this population to prevent complications and promote quality of life, safely. It also considers special risk factors, such as falls, frailty, polypharmacy and common comorbidities.

Downloads

Download data is not yet available.

References

Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, et al. Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the study of diabetes. Diabetes Care. 2015;38:140–149 10p. doi: 10.2337/dc14-2441

Fortin M, Hudon C, Haggerty J, Van Den Akker M, Almirall J. Prevalence estimates of multimorbidity: a comparative study of two sources. BMC Health Serv Res. 2010;10:111–116. doi: 10.1186/1472-6963-10-111

Fortin M, Bravo G, Hudon C, Vanasse A, Lapointe L. Prevalence of multimorbidity mong adults seen in family practice. Ann Fam Med. 2005;3:223–228. doi: 10.1370/afm.272

Tai MC, Lin SY, Chen JT, Liang CM, Chou PI, Lu DW. Sweet hyperopia: refractive changes in acute hyperglycemia. Eur J Ophthalmol. 2006;16:663–6.

Cox DJ, Kovatchev BP, Gonder-Frederick LA, Summers KH, Mccall A, Grimm KJ, et al. Relationships between hyperglycemia and cognitive performance among adults with type 1 and type 2 diabetes. Diabetes Care. 2005;28:71–7. doi: 10.2337/diacare.28.1.71

Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, et al. Diabetes in older adults. Diabetes Care. 2012;35:2650–64. doi: 10.2337/dc12-1801

Standards of medical care in diabetes-2015 abridged for primary care providers. Clin Diabetes. 2015;33:97–111. doi: 10.2337/diaclin.33.2.97

Ligthelm RJ, Kaiser M, Vora J, Yale JF. Insulin use in elderly adults: risk of hypoglycemia and strategies for care. J Am Geriatr Soc. 2012;60:1564–70. doi: 10.1111/j.1532-5415.2012.04055.x

Whitmer RA, Karter AJ, Yaffe K, Quesenberry CP Jr, Selby JV. Hypoglycemic episodes and risk of dementia in older patients with type 2 diabetes mellitus. JAMA. 2009;301:1565–72. doi: 10.1001/jama.2009.460

Miller CK, Edwards L, Kissling G, Sanville L. Nutrition education improves metabolic outcomes among older adults with diabetes mellitus: results from a randomized controlled trial. Prev Med. 2002;34:252–9. doi: 10.1006/pmed.2001.0985

Heath JM, Stuart MR. Prescribing exercise for frail elders. J Am Board Fam Pract. 2002;15:218–28.

Morey MC, Pieper CF, Crowley GM, Sullivan RJ, Puglisi CM. Exercise adherence and 10-year mortality in chronically ill older adults. J Am Geriatr Soc. 2002;50:1929–33. doi: 10.1046/j.1532-5415.2002.50602.x

Christmas C, Andersen RA. Exercise and older patients: guidelines for the clinician. J Am Geriatr Soc. 2000;48:318–24. doi: 10.1111/j.1532-5415.2000.tb02654.x

Bantle JP, Wylie-Rosett J, Albright AL, Apovian CM, Clark NG, Franz MJ, et al. Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2008;31(Suppl 1):S61–78.

Wedick NM, Barrett-Connor E, Knoke JD, Wingard DL. The relationship between weight loss and all-cause mortality in older men and women with and without diabetes mellitus: the Rancho Bernardo study. J Am Geriatr Soc. 2002;50:1810–5. doi: 10.1046/j.1532-5415.2002.50509.x

Neumiller JJ, Setter SM. Pharmacologic management of the older patient with type 2 diabetes mellitus. Am J Geriatr Pharmacother. 2009;7:324–42. doi: 10.1016/j.amjopharm.2009.12.002

Sinclair AJ, Paolisso G, Castro M, Bourdel-Marchasson I, Gadsby R, Rodriguez Manas L. European Diabetes Working Party for Older People 2011 clinical guidelines for type 2 diabetes mellitus. Executive summary – A Report of the European Diabetes Working Party for Older People (EDWPOP) Revision Group on clinical practice guidelines for type 2 diabetes mellitus. Diabetes Metab. 2011;37:S27–S38. doi: 10.1016/S1262-3636(11)70962-4

Rawlings AM, Sharrett AR, Schneider AL, Coresh J, Albert M, Couper D, et al. Diabetes in midlife and cognitive change over 20 years: a cohort study. Ann Intern Med. 2014;161:785–93. doi: 10.7326/M14-0737

Alonso A, Mosley TH Jr, Gottesman RF, Catellier D, Sharrett AR, Coresh J. Risk of dementia hospitalisation associated with cardiovascular risk factors in midlife and older age: the Atherosclerosis Risk in Communities (ARIC) study. J Neurol Neurosurg Psychiatry. 2009;80:1194–201. doi: 10.1136/jnnp.2009.176818

Whitmer RA, Karter AJ, Yaffe K, Quesenberry CP, Selby JV. Hypoglycemic episodes and risk of dementia in older patients with type 2 diabetes mellitus. JAMA. 2009;301:1565–1572. doi: 10.1001/jama.2009.460

Abbatecola AM, Rizzo MR, Barbieri M, Grella R, Arciello A, Laieta MT, et al. Postprandial plasma glucose excursions and cognitive functioning in aged type 2 diabetics. Neurology. 2006;67:235–40. doi: 10.1212/01.wnl.0000224760.22802.e8

Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care. 2001;24:1069–78. doi: 10.2337/diacare.24.6.1069

Maraldi C, Volpato S, Penninx BW, Yaffe K, Simonsick EM, Strotmeyer ES, et al. Diabetes mellitus, glycemic control, and incident depressive symptoms among 70- to 79-year-old persons: the health, aging, and body composition study. Arch Intern Med. 2007;167:1137–44. doi: 10.1001/archinte.167.11.1137

Lustman PJ, Freedland KE, Griffith LS, Clouse RE. Predicting response to cognitive behavior therapy of depression in type 2 diabetes. Gen Hosp Psychiatry. 1998;20:302–6. doi: 10.1016/S0163-8343(98)00039-5

Newman SC, Hassan AI. Antidepressant use in the elderly population in Canada: results from a national survey. J Gerontol A Biol Sci Med Sci. 1999;54:M527–30. doi: 10.1093/gerona/54.10.M527

Lustman PJ, Clouse RE. Treatment of depression in diabetes: impact on mood and medical outcome. J Psychosom Res. 2002;53:917–24. doi: 10.1016/S0022-3999(02)00416-6

Bauer S, Nauck MA. Polypharmacy in people with Type 1 and Type 2 diabetes is justified by current guidelines--a comprehensive assessment of drug prescriptions in patients needing inpatient treatment for diabetes-associated problems. Diabet Med. 2014;31:1078–85. doi: 10.1111/dme.12497

Denneboom W, Dautzenberg MG, Grol R, De Smet PA. Treatment reviews of older people on polypharmacy in primary care: cluster controlled trial comparing two approaches. Br J Gen Pract. 2007;57:723–31.

Peron EP, Ogbonna KC, Donohoe KL. Antidiabetic medications and polypharmacy. Clin Geriatr Med. 2015;31:17–27, vii. doi: 10.1016/j.cger.2014.08.017

Dardano A, Penno G, Del Prato S, Miccoli R. Optimal therapy of type 2 diabetes: a controversial challenge. Aging (Albany NY). 2014;6:187–206. doi: 10.18632/aging.100646

Castelino RL, Bajorek BV, Chen TF. Retrospective evaluation of home medicines review by pharmacists in older Australian patients using the medication appropriateness index. Ann Pharmacother. 2010;44:1922–9. doi: 10.1345/aph.1P373

Downloads

Published

2017-01-02

How to Cite

Kennedy, M. (2017). Caring for older people with diabetes in primary care. International Diabetes Nursing, 14(1), 16–19. https://doi.org/10.1080/20573316.2017.1352143

Issue

Section

Original Articles