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The simplification of treatment regimens and the customization of glycemic targets in older people with diabetes improve adherence and avoid treatment-related complications, according to a clinical practice guide published today by the Endocrine Society. The Company made this recommendation at a press conference on the opening day of ENDO 2019, its annual meeting in New Orleans, Louisiana.
The guideline titled "Treatment of Diabetes in Older Adults: Clinical Practice Guideline of the Society of Endocrinology" was published online and will be published in the May 2019 print edition of the Journal of Clinical Endocrinology & Metabolism (JCI Monaco), publication of the Endocrine Society. The guideline focuses on treatment strategies that take into account the overall health and quality of life of older people with diabetes, defined as those aged 65 or older.
Aging plays a major role in the development of diabetes, which currently affects about 33% of older people in the United States. Older people with diabetes often suffer from one or more concomitant conditions such as cognitive impairment, cardiovascular disease, impaired vision, and rheumatoid arthritis. arthritis, which affects the self-management of diabetes.
"The recommendation encourages clinicians to take into account the available evidence and the general health status of a patient, the likelihood of benefiting from interventions and personal values when considering the patient. 39; therapeutic goals such as blood sugar, blood pressure and cholesterol, "said Derek LeRoith, MD, Ph.D., of Mount Sinai School of Medicine in New York, NY LeRoith chaired the editorial board that the directive. "Our framework prioritizes blood glucose targets compared to the A1c hemoglobin test for the management of diabetes in the elderly."
Guideline recommendations include:
- Simplify drug regimes and adjust glycemic targets in older people with diabetes and cognitive impairment (eg, dementia) to improve adherence and prevent treatment-related complications
- Design outpatient diabetes treatment regimens specifically to minimize hypoglycemia
- Target blood pressure levels of 140/90 mmHg to reduce the risk of cardiovascular disease, stroke and chronic progressive renal failure in elderly people with diabetes and aged 65 to 85 years
- Use an annual lipid profile to reduce the amount of "bad cholesterol" in your blood
- Annual administration of comprehensive eye examinations for retinal diseases
- Establish clear blood glucose targets for elderly diabetics in hospitals or nursing homes at 100-140 mg / dL (5.55-7.77 mmol / L) on an empty stomach and 140-180 mg / dL (7 , 77-10 mmol / L) after meals while avoiding hypoglycemia
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