alexa Glucose Lowering Medicines and Older People with Diabetes: The Importance of Comprehensive Assessments and Pharmacovigilance
ISSN: 2167-1168

Journal of Nursing & Care
Open Access

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Review Article

Glucose Lowering Medicines and Older People with Diabetes: The Importance of Comprehensive Assessments and Pharmacovigilance

Trisha Dunning AM1* and Alan Sinclair2
1Chair in Nursing Deakin and Director Centre for Nursing and Allied Health Research, Deakin University and Barwon Health, Australia
2Director Institute for Diabetes in Older People, University of Bedfordshire, UK
Corresponding Author : Trisha Dunning AM
Chair in Nursing, Deakin University and Barwon Health
Kitchener House, C/- The Geelong Hospital
Ryrie Street PO Box 281, Geelong Vic 3220, Australia
Tel: 03 4215 3288
Fax: 03 4215 3489
E-mail: [email protected]
Received February 21, 2014; Accepted April 01, 2014; Published April 07, 2014
Citation: Dunning T, Sinclair A (2014) Glucose Lowering Medicines and Older People with Diabetes: The Importance of Comprehensive Assessments and Pharmacovigilance . J Nurs Care 3:160. doi:10.4172/2167-1168.1000160
Copyright: © 2014 Dunning AM, 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

Diabetes is a chronic incurable disease of high prevalence in older people due to changes in glucose homeostasis, diabetes-related complications and other comorbidities that affect physical and cognitive functioning and have implications for medicines use. Polypharmacy is common and represents a significant medicine and selfcare burden, risk of medicine-related adverse events, and inappropriate prescribing. Some medicines used to treat diabetes such as insulin, sulphonylureas, warfarin and antiplatelet agents are known as ‘high risk’ medicines because of their association with adverse events. Managing medicines is a complex process that requires particular knowledge and skills and strategies to proactively identify risks and plan care to reduce the risk such as following evidence based recommendations/ guidelines, comprehensive assessment and monitoring, using decision support tools such as BEERs, STOPP and START criteria, and importantly, involving the individual and/or carers in medicine decisions to personalise medicines education and the medicine regimen.

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