Monday , June 26 2017
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Geriatric Medicine

Diabetes and Aging in Elderly Patients: Aging diabetes patients often present complex cases. They routinely have multiple comorbidities, polypharmacy, and numerous frailties. Treatment is very case specific for the elderly. The healthcare professional must take all these factors into account when developing a treatment plan and regimen. New insights are frequently emerging from clinical research to help improve geriatric diabetes patient outcomes.

Sometimes You’ve Got to Get in Their Face

Refusing to take medicine

Woman, 86 years of age, very active, history of type 2 diabetes, but does not check glucose or even admit she has diabetes. She has refused to take any medications at all for the last 20+ years I’ve known her. Had gastroenteritis for 3 days. Even when well, she does not drink anything but coffee, and sometimes sugar-sweetened beverages, but only a few ounces of that at a time.

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Reteach to Dispel Fear and Misunderstandings

Senior Woman Suffering From Headache At Home

Female, 76 years of age, type 2 diabetes, well managed, A1C 6%, on metformin 500mg daily. Patient also has well-managed hypertension, hyperlipidemia, and osteoporosis. She lives alone. Wants tighter diabetes control. Was having hypoglycemia when on 500mg twice daily. Requests, almost begs me, to increase her medication. States she’s afraid she’s going to have kidney problems.

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