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Erschienen in: Current Diabetes Reports 3/2019

01.03.2019 | Microvascular Complications—Nephropathy (M Afkarian and B Roshanravan, Section Editors)

Diabetes Management in Older Adults With Chronic Kidney Disease

verfasst von: Kristin K. Clemens, Niamh O’Regan, Jinnie J. Rhee

Erschienen in: Current Diabetes Reports | Ausgabe 3/2019

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Abstract

Purpose of Review

Older adults often live with chronic disease including diabetes and its complications. In this review, we examine the complexity and heterogeneity of older adults with diabetes and chronic kidney disease, explore the nuances in their diabetes-related monitoring, and discuss their best diabetes management.

Recent Findings

Although there remains an overall lack of studies in older adults with diabetes and chronic kidney disease, recent reports have highlighted their vulnerabilities. These individuals face an increased risk of cognitive impairment and dementia, frailty, dysglycemia, polypharmacy, declining kidney function, and acute kidney injury. Their diabetes management should focus upon safer antihyperglycemic medications, close monitoring, and care individualization.

Summary

Older adults with diabetes and chronic kidney disease are a complex population who requires careful diabetes management and monitoring. Research efforts might focus on improving the care and outcomes of these patients.
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Metadaten
Titel
Diabetes Management in Older Adults With Chronic Kidney Disease
verfasst von
Kristin K. Clemens
Niamh O’Regan
Jinnie J. Rhee
Publikationsdatum
01.03.2019
Verlag
Springer US
Erschienen in
Current Diabetes Reports / Ausgabe 3/2019
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-019-1128-3

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