Clinical expert consensus on standard care of blood glucose for residents in senior care facility in China (2021 edition). Issue 2 (11th June 2021)

• Record Type: Journal Article
• Authors: Wang, Shuang; Zhan, Junkun; Cheng, Mei; Pan, Qi; Liang, Zhen; Liu, Xiaohong; Peng, Wen; Cao, Xiaopei; Luo, Yingquan; Kang, Dongmei; Liu, Youshuo
• Other Names: Wang Jianye investigator.; Li Xiaoying investigator.; Yu Pulin investigator.; Zhang Cuntai investigator.; Liao Eryuan investigator.; Zhou Zhiguang investigator.; Jian Zaijin investigator.; Tuo Xiping investigator.; Dong Birong investigator.; Guo Lixin investigator.; He Jieyu investigator.; Li Shuang investigator.; Li Ying investigator.; Sun Qianqian investigator.; Song Juan investigator.; Wang Yanjiao investigator.; Xue Yu investigator.; Wang Renjie investigator.; Zhou Lingyan investigator.; Cao Caixia investigator.; Chen Ping investigator.; Chen Qiong investigator.; Feng Shuzhi investigator.; He Jirui investigator.; Kong Jian investigator.; Li Caiping investigator.; Liang Ganxiong investigator.; Lin Mingzhu investigator.; Liu Juan investigator.; Liu Huixia investigator.; Liu Libin investigator.; Liu Yu investigator.; Liu Zhengtang investigator.; Luo Lan investigator.; Li Yanqun investigator.; Ma Hui investigator.; Ma Huijuan investigator.; Meng Chao investigator.; Nie Yue investigator.; Shen Liya investigator.; Shen Linhui investigator.; Su Hui investigator.; Su Zhenli investigator.; Wu Songlin investigator.; Wang Yi investigator.; Yan Shuangtong investigator.; Zhang Chunyu investigator.; Zhang Haiyan investigator.; Zhang Mengxi investigator.; Zhao Kexiang investigator.; Zhao Xinlan investigator.; Zhou Yan investigator.; Zhou Yingsheng investigator.;
• Is Part Of: Aging medicine. Volume 4:Issue 2(2021)
• Page Start: 93
• Page End: 108
• Publication Date: 2021-06-11
• Subjects: blood glucose -- elderly -- senior care facility; Geriatrics -- Periodicals; Geriatrics -- China -- Periodicals; Older people -- Diseases -- Periodicals; 618.97
• DOI: 10.1002/agm2.12164
• Languages: English
• ISSNs: 2475-0360

Abstract

ABSTRACT: With the demographic changes, more and more elderly people have chosen to spend their retirement life in a senior care facility. The elderly people in senior care facility are commonly suffering from various geriatric syndromes, including declined daily living activities, cognitive dysfunction, frailty, comorbidities, and polypharmacy, which make them vulnerable to adverse effects, like hypoglycemia and fall. Therefore, layered management is necessary for this population with group disparities. However, the staff in senior care facility vary greatly in concepts and skills on management of senile diabetic population, which needs urgently to be standardized and improved. For this purpose, based on literature review and panel discussion, 28 recommendations are proposed in respect of the standardized management of blood glucose, covering the comprehensive assessment, layered management and grouping, exercise, nutrition, glucose monitoring, identification and treatment of severe hyperglycemia, identification of macrovascular and microvascular complications, management of hypoglycemic drugs, falls and choking and other common problems, blood glucose screening, hypoglycemia prevention, and blood glucose management in major public health events or serious natural disasters. This guideline aims to standardize management skills of medical staff and caregivers in senior care facility for the blood glucose of elderly people and improve their quality of life.