Diabetes mellitus and geriatric syndromes

Diabetes mellitus is associated with an increased prevalence and incidence of geriatric syndrome: functional disabilities, depression, fall, urinary incontinence, malnutrition and cognitive impairment. Geriatric syndrome not only leads to frailty, loss of independence and low quality of life, but al...

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Bibliographic Details
Published in:Geriatrics & gerontology international 2009-06, Vol.9 (2), p.105-114
Main Authors: Araki, Atsushi, Ito, Hideki
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Aged, 80 and over
Aging - physiology
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - psychology
Cognition Disorders - epidemiology
Cognition Disorders - psychology
cognitive impairment
Comorbidity
Diabetes
diabetes mellitus
Diabetes Mellitus - psychology
Diabetes Mellitus - therapy
disability
elderly
Female
Geriatric Assessment - methods
geriatric syndrome
Health risk assessment
Humans
Male
Older people
Quality of Life
Risk Factors
Syndrome
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Summary:Diabetes mellitus is associated with an increased prevalence and incidence of geriatric syndrome: functional disabilities, depression, fall, urinary incontinence, malnutrition and cognitive impairment. Geriatric syndrome not only leads to frailty, loss of independence and low quality of life, but also becomes a major obstacle in the treatment and care of diabetic people. The risk factors or contributing factors of geriatric symptoms are micro‐ and macrovascular complications, age‐rated comorbid disease and aging per se. Comprehensive geriatric assessment of geriatric syndrome, including basic activities of daily living, instrumental activities of daily living, gait and balance, visual acuity, the Mini‐Mental State Examination, depression scores, history and risk of fall, urination and nutrition, should be performed as part of the care of elderly diabetic patients, in particular old‐old patients. Because geriatric syndromes are multifactorial and share risk factors, diabetic people with any geriatric symptoms should be treated with a common concentric strategy, such as supervised exercise therapy including muscle‐strengthening training, psychological support, social support for adherence, and good glycemic control with avoidance of hypoglycemia.
ISSN:1444-1586
1447-0594
DOI:10.1111/j.1447-0594.2008.00495.x