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Dtsch Med Wochenschr 2023; 148(15): 974-987
DOI: 10.1055/a-1801-5971
CME-Fortbildung

Diabetes mellitus im Alter

Diabetes in old age
Jürgen Wernecke
,
Anke Bahrmann
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Diabetes mellitus ist eine der häufigsten chronischen Erkrankungen im Alter. Ältere Menschen mit Diabetes haben häufig zusätzlich funktionelle und/oder kognitive Beeinträchtigungen, die bei der Therapie berücksichtigt werden müssen. Einfache Therapieformen sollten bevorzugt werden, um eine Polypharmazie abzuwenden und die Selbstständigkeit der Patienten möglichst lange zu erhalten. Vorsorgeuntersuchungen und Behandlung diabetischer Folgeerkrankungen sind konsequent unter Beachtung alterstypischer Besonderheiten vorzunehmen.

Abstract

Diabetes is one of the most common chronical diseases in old age. More than 50 % of the patients are older than 65 years. Elderly with diabetes often suffer from functional or cognitive deficits that should be registered in therapy. These include special geriatric syndromes like memory failure, frailty, falls, immobility or higher vulnerability for drug interactions. Comorbidity und functional deficits influence each other. Simple therapy regimens should be preferred to avoid polypharmacia and to preserve patient’s independence. Specific risks of old age under new antidiabetic drugs should be noted. Check-ups and treatment of diabetic complications, especially the diabetic foot should be consequently induced considerating age-specific features.

Schlüsselwörter

Altersdiabetes - funktionelles Defizit - geriatrische Syndrome - therapeutische Ziele - Polypharmazie - neue Antidiabetika

Key words

diabetes of old age - functional deficit - geriatric syndroms - therapeutic goals - polypharmacia - new antidiabetic drugs


Publikationsverlauf

Artikel online veröffentlicht:
21. Juli 2023

© 2023. Thieme. All rights reserved.

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