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Current Geriatrics Reports
Erschienen in: Current Geriatrics Reports 3/2017

Open Access 28.07.2017 | Nutrition, Obesity, and Diabetes (H Florez, Section Editor)

Comparative Effectiveness for Glycemic Control in Older Adults with Diabetes

verfasst von: Michael Quartuccio, Brian Buta, Rita Rastogi Kalyani

Erschienen in: Current Geriatrics Reports | Ausgabe 3/2017

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Abstract

Purpose of Review

The purpose of this review is to summarize the current data for comparative effectiveness of glycemic control in older adults.

Recent Findings

In the last several years, professional societies have released guidelines for glycemic control in older adults, generally recommending individualized HbA1c goals. However, recent observational studies demonstrate that many older adults remain aggressively managed and are at increased risk of hypoglycemia. Large randomized trials of older adults with diabetes have failed to show convincing cardiovascular benefit from intensive glycemic control and suggest some microvascular benefit. Additionally, a few studies suggest that suboptimal glycemic control can increase the risk for geriatric syndromes. Emerging research suggests similar safety and efficacy of glucose-lowering therapies in older versus younger adults.

Summary

Overall, there is a paucity of data supporting the benefit of intensive glycemic control in older adults. More research is needed in this vulnerable population.
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Metadaten
Titel
Comparative Effectiveness for Glycemic Control in Older Adults with Diabetes
verfasst von
Michael Quartuccio
Brian Buta
Rita Rastogi Kalyani
Publikationsdatum
28.07.2017
Verlag
Springer US
Erschienen in
Current Geriatrics Reports / Ausgabe 3/2017
Elektronische ISSN: 2196-7865
DOI
https://doi.org/10.1007/s13670-017-0215-z

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