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Cited by 131Diabetes Treatment and ManagementDiabetes Management and EducationPharmaceutical Practices and Patient Outcomes

Diabetes Management in the Elderly

Open access
Leung, Erika, Wongrakpanich, Supakanya, Munshi, Medha N.·2018·Diabetes Spectrum
DOI 10.2337/ds18-0033PMC PMC6092888
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Abstract

IN BRIEF Older adults with diabetes present unique challenges and require considerations that are not traditionally associated with diabetes management. In this review, we focus on issues that are unique to the older population and provide practical guidance for clincians who care for them.

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Crossref · 10.2337/ds18-0033

Cites

5 of 5 references verified0 citation errors · 0 not checkable

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  • The use of advanced technologies in older individuals is useful.

    “The use of advanced technologies in older individuals is useful and should not be discontinued or a priori excluded because of the older age (78,274).”

    From The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) (2021) · cites this paper as [274]

    The ‘Presence of Age-Related Conditions’ section recommends medication-reminder alarms and assistive devices, but does not address whether advanced diabetes technologies are useful for older adults. Searches for advanced technologies, insulin pumps, and continuous glucose monitoring found no passage in our copy that establishes the attributed point. (LLM, conf=0.72)

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Cites

Flagged first, then by citations

Research works printed but not linked: 24

  1. [2]Boyle JP, Thompson TJ, Gregg EW, Barker LE, Williamson DF Projection of the year 2050 burden of diabetes in the U.S. adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence. Popul Health Metr 2010; 8: 29 20969750 PMC2984379
  2. [3]Li Y, Burrows NR, Gregg EW, Albright A, Geiss LS Declining rates of hospitalization for nontraumatic lower-extremity amputation in the diabetic population aged 40 years or older: U.S., 1988–2008. Diabetes Care 2012; 35: 273– 277 PMC3263875 22275440
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  7. [10]Munshi M Managing the "geriatric syndrome" in patients with type 2 diabetes. Consult Pharm 2008; 23(Suppl. B): B12– B16 18540788
  8. [11]Frier BM How hypoglycaemia can affect the life of a person with diabetes. Diabetes Metab Res Rev 2008; 24: 87– 92 18088077
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  10. [13]Meneilly GS, Cheung E, Tuokko H Altered responses to hypoglycemia of healthy elderly people. J Clin Endocrinol Metab 1994; 78: 1341– 1348 8200936
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  12. [15]Frier BM, Fisher BM Impaired hypoglycaemia awareness. In Hypoglycaemia in Clinical Diabetes. Frier BM, Fisher BM, Eds. Chichester, U.K., John Wiley, 1999, p. 111– 146
  13. [16]Lipska KJ, Kosiborod M Hypoglycemia and adverse outcomes: marker or mediator? Rev Cardiovasc Med; 2011; 12: 132– 135 22080923
  14. [17]Ligthelm RJ, Kaiser M, Vora J, Yale JF Insulin use in elderly adults: risk of hypoglycemia and strategies for care. J Am Geriatr Soc 2012; 60: 1564– 1570 22881394
  15. [19]American Diabetes Association Glycemic targets. Sec. 6 in Standards of Medical Care in Diabetes—2018. Diabetes Care 2018; 41(Suppl. 1): S55– S64 29222377
  16. [21]Munshi MN, Segal AR, Slyne C, Samur AA, Brooks KM, Horton ES Shortfalls of the use of HbA1C-derived eAG in older adults with diabetes. Diabetes Res Clin Pract 2015; 110: 60– 65 26272739
  17. [22]Lipska KJ, Warton EM, Huang ES, HbA1c and risk of severe hypoglycemia in type 2 diabetes: the Diabetes and Aging Study. Diabetes Care 2013; 36: 3535– 3542 23900589 PMC3816866
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  19. [24]American Diabetes Association Pharmacologic approaches to glycemic treatment. Sec. 8 in Standards of Medical Care in Diabetes—2018. Diabetes Care 2018; 41(Suppl. 1): S73– S85 29222379
  20. [25]Munshi MN, Maguchi M, Segal AR Treatment of type 2 diabetes in the elderly. Curr Diab Rep 2012; 12: 239– 245 22484911
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  22. [27]Munshi MN, Pandya N, Umpierrez GE, Digenio A, Zhou R, Riddle MC Contributions of basal and prandial hyperglycemia to total hyperglycemia in older and younger adults with type 2 diabetes mellitus. J Am Geriatr Soc 2013; 61: 535– 541 23581911
  23. [28]Pasquel FJ, Powell W, Peng L, A randomized controlled trial comparing treatment with oral agents and basal insulin in elderly patients with type 2 diabetes in long-term care facilities. BMJ Open Diabetes Res Care 2015; 3: e000104 PMC4553905 26336609
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Cited by

Sorted by citations

Authors
Leung, E., Wongrakpanich, S., & Munshi, M. N.
Affiliations
Joslin Diabetes Center (US)
Corresponding author
Munshi, Medha N.
ORCID
Venue
Diabetes Spectrum
Publisher
American Diabetes Association
Published
2018-08-01
Volume
31
Issue
3
Pages
245-253
ISSN
  • 1040-9165 (ISSN-L)
  • 1944-7353
DOI
10.2337/ds18-0033
PMC
PMC6092888
OpenAlex
W2887937427
Cited by
131
References
5
Citations by year
2026: 12 · 2025: 22 · 2024: 21 · 2023: 28 · 2022: 20 · 2021: 20 · 2020: 5 · 2019: 2 · 2018: 1
FWCI
5.57
Type
journal article
Language
en
Open access
Licence
Locations
  • Diabetes Spectrum (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords
diabetes management, older adults, geriatric diabetes, elderly diabetes, clinical management guidelines

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