Clinical Practice Guideline

Treatment of Diabetes in Older Adults Guideline Resources

March 01, 2019

 

Full Guideline: Treatment of Diabetes in Older Adults
JCEM | May 2019 (online March 2019)

Derek LeRoith, Geert Jan Biessels, Susan S. Braithwaite, Felipe F. Casanueva, Boris Draznin, Jeffrey B. Halter, Irl B. Hirsch, Marie E. McDonnell, Mark E. Molitch, M. Hassan Murad, and Alan J. Sinclair

The 2019 guideline on treatment of diabetes in older adults:

  • Provides recommendations for the screening, diagnosis, and treatment of diabetes in older adults
  • Provides recommendations for older patients with diabetes and macro and microvascular co-morbidities
  • Emphasizes shared-decision making and lesser targets/goals depending on health condition


Resources


Essential Points

  • Prediabetes is highly prevalent in older people, however, interventions to delay progression from prediabetes to diabetes are especially effective in this age group.
  • The prevalence of type 2 diabetes increases as individuals age and exaggerates the incidence of both microvascular and macrovascular complications.
  • Clinicians should perform regular screening for prediabetes and diabetes in the older population and implement interventions as indicated in this guideline.
  • Given the heterogeneity of the health status of older people with diabetes, the guideline emphasizes shared decision-making and provides a framework to assist health care providers to individualize treatment goals.
  • The problems that older individuals with diabetes face, in contrast to younger people with the disease, include sarcopenia, frailty and cognitive dysfunction. Such complications can lead to an increased risk of poor medication adherence, hypoglycemia (from certain medications), falls, and loss of independence in daily living activities.
  • The guideline presents evidence for the various effects of diabetes in the older patients and the relevant therapies for glycemic control, hyperlipidemia and hypertension.
  • Guideline recommendations also address common co-morbidities such as renal impairment, which affects the pharmacokinetics and pharmacodynamics of specific agents, and concomitant heart disease. 

List of Recommendations

+ 1.0 Role of the Endocrinologist and Diabetes Care Specialist

+ 2.0 Screening for Diabetes and Prediabetes, and Diabetes Prevention

+ 3.0 Assessment of Older Patients with Diabetes

+ 4.0 Treatment of Hyperglycemia

+ 5.0 Treating Complications of Diabetes

+ 6.0 Special Settings and Populations

CME

Certified Medical Minute

Watch this expert CME/CE-certified presentation highlighting expert recommendations on the variety of continuous glucose monitoring devices for optimizing management of individual patients with type 1 and type 2 diabetes

Comparison of Available and Emerging CGM Technology

Watch this expert CME/CE-certified presentation highlighting expert recommendations on the variety of continuous glucose monitoring devices for optimizing management of individual patients with type 1 and type 2 diabetes

On the Go

Guideline Pocket Cards

Pocket Guides
Practical quick-reference tools to help you make accurate clinical decisions at the point of care.

Practical quick-reference tools to help you make accurate clinical decisions at the point of care.

Membership

Community Connect

Community Connect is Endocrine Society’s exclusive online community where you can network, talk to experts, join a conversation with people who share your interests, and find what you need throughout your membership journey. Learn, share ideas, and be heard on Community Connect now!

Community Connect is Endocrine Society’s exclusive online community where you can network, talk to experts, join a conversation with people who share your interests, and find what you need throughout your membership journey. Learn, share ideas, and be heard on Community Connect now!

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