alexa ANASTE Calabria Recommendations for the Treatment of Frail Elderly Diabetic Patients Hospitalized in Nursing Homes
ISSN: 2167-7182

Journal of Gerontology & Geriatric Research
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Review Article

ANASTE Calabria Recommendations for the Treatment of Frail Elderly Diabetic Patients Hospitalized in Nursing Homes

Giovanni Sgrò*, Alba Malara, Grazia Francesca Renda, Giuseppe Curinga, Fausto Spadea, Vincenzo Rispoli, Francesco Ceravolo and Michele Garo
Scientific Coordination of National Association Structures Third Age (ANASTE) Section Calabria, Italy
Corresponding Author : Giovanni Sgrò
Scientific Coordination of National Association
Structures Third Age (ANASTE) Section Calabria Italy
E-mail: [email protected]
Received June 06, 2013; Accepted August 14, 2013; Published August 16, 2013
Citation: Sgrò G, Malara A, Renda GF, Curinga G, Spadea F, et al. (2013) ANASTE Calabria Recommendations for the Treatment of Frail Elderly Diabetic Patients Hospitalized in Nursing Homes. J Gerontol Geriat Res 2:128. doi:10.4172/2167-7182.1000128
Copyright: © 2013 Sgrò G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

The prevalence of diabetes increases with age became higher in elderly and in patients admitted to nursing home. During aging, a functional reduction of the beta cell and increase in insulin resistance causes a greater risk in developing diabetes mellitus. It is also well known that association between aging and insulin resistance, recognizes a multifactorial origin. In elderly, both reduced physical activity and increase of visceral adipose tissue may play a causal role that it at least partly follows. Older adults with diabetes have higher rates of functional disability and sudden death, and concomitant diseases such as hypertension, coronary heart disease and stroke than those without diabetes. Older adults with diabetes are at increased risk for several common geriatric syndromes, such as polypharmacy and adverse reaction to drugs, depression, cognitive impairment, urinary incontinence, and persistent pain. In particular, the risk of macrovascular events is doubled and it is related to the duration of illness, the metabolic compensation and the number of other cardiovascular risk factors already present. Most of the elderly subjects in Long-term care (LTC) facilities are frail. The treatment of the elderly with diabetes is complicated by the heterogeneity of functional and clinical status. Life expectancy and the clinical conditions are highly variable. In these patients who take care of elderly people with diabetes must take this heterogeneity of account when establishing the priorities and goals of treatment

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