Hypoglycemia, frailty and dementia in older people with diabetes : Reciprocal relations and clinical implications

Copyright © 2016 Elsevier Inc. All rights reserved..

The relationships between hypoglycemia, frailty and dementia appear to be reciprocal and can lead to a vicious circle. Frailty appears to be a crucial factor increasing the risk for both hypoglycemia and dementia, initiating the reciprocal relationships. Weight loss is likely to be the underlying risk factor for frailty. Many frail older people with diabetes seem to have unnecessarily tight glycemic control, being treated with hypoglycemic medications that likely increase the risk of hypoglycemia. As patients get older with significant weight loss their glycemic targets should be reviewed, and reduction or even withdrawal of their hypoglycemic medications should be considered.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Journal of diabetes and its complications - 30(2016), 8 vom: 10. Nov., Seite 1548-1554

Sprache:

Englisch

Beteiligte Personen:

Abdelhafiz, Ahmed H [VerfasserIn]
McNicholas, Emily [VerfasserIn]
Sinclair, Alan J [VerfasserIn]

Links:

Volltext

Themen:

Dementia
Diabetes mellitus
Frailty
Hypoglycemia
Hypoglycemic Agents
Journal Article
Older people
Review

Anmerkungen:

Date Completed 28.03.2018

Date Revised 08.04.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jdiacomp.2016.07.027

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM263429083