Improving Care in Older Patients with Diabetes: A Focus on Glycemic Control

The Permanente Journal - Kaiser Permanente

Darryl Palmer-Toy¹  Eric A Lee¹  Fred Ziel¹  John Martin¹  Jennifer K Polzin¹  Nancy E Gibbs¹ 

关键词: Metabolic Syndrome;    Childhood Obesity;    Elementary School Children;   

DOI  :  10.7812/TPP/15-080

学科分类：医学（综合）

来源: Permanente Medical Group

【 摘 要 】

Diabetes affects more than 25% of Americans older than age 65 years. The medical care of older patients must differ from the care of their younger counterparts. Older patients are at high risk of drug toxicity. A hemoglobin A1c (HbA1c) level less than 7.0% has historically been the goal of all patients with diabetes, regardless of age. Recent research has demonstrated that using medications to achieve such tight glycemic control is not necessary and is often not safe.This article discusses the seminal research findings that strongly suggest that HbA1c goals should be relaxed in older patients. The authors then recommend an age-specific and functionally appropriate HbA1c reference range for patients receiving medications to improve glycemic control. Other interventions are suggested that should make diabetes care safer in older patients receiving hypoglycemic medications.

【 授权许可】

Unknown