The overtreatment of type 2 diabetes in frail older people. (2nd June 2020)

• Record Type: Journal Article
• Authors: Syed, Hannah
• Is Part Of: Practice nursing. Volume 31:Number 6(2020)
• Page Start: 240
• Page End: 244
• Publication Date: 2020-06-02
• Subjects: Diabetes -- Older people -- Frail -- Medicine -- Deprescribing -- Overtreatment; Nursing -- Practice -- Great Britain -- Periodicals; 610.730941
• DOI: 10.12968/pnur.2020.31.6.240
• Languages: English
• ISSNs: 0964-9271

Abstract

Abstract : With older patients at an increased risk of hypoglyceamia from intensive treatments of insulin and sulfonylureas, Hannah Syed examines how a patient-centred holistic method must be undertaken for older people living with diabetes Intensive treatment with insulin and sulfonylureas in older people with low HbA1c (<53mmol/mol) can increase the risk of hypoglycaemia, morbidity and mortality. Older people, particularly those with frailty and/or comorbidities are less likely to benefit from the long-term protective effects of good glycaemic control and are often at risk of inappropriate polypharmacy. A person-centred holistic approach to diabetes management must be adapted for older people living with diabetes.