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Find research articles and resources related to diabetes prevention and care in older adults.

Resources listed by title (A-Z)

​Title ​Description ​Organization

Diab​etes in Older Adults: A Consensus Report​

This consensus report addresses several questions regarding the care of older adults managing and at risk for diabetes. Published October 2012 in Diabetes Care and the Journal of the American Geriatrics Society. American Diabetes Association / American Geriatrics Association

Diabetes Pre​vention Pr​ogram Clinical Trial Fact Sheet

This fact sheet reviews the objectives and results of the Diabetes Prevention Program (DPP), a major clinical trial aimed at discovering whether either diet and exercise or the oral diabetes drug metformin could prevent or delay the onset of type 2 diabetes in people with impaired glucose tolerance. Pertinent to older adults, this trial found that lifestyle changes worked particularly well for participants aged 60 and older, reducing their risk by 71 percent. National Diabetes Education Program

GAME PLAN for Preventing Type 2 Diabetes: A​ Toolkit for Health Care Professionals and Teams

Given the extraordinary burden of diabetes on patients, their families, the medical community, society, and the economy, the National Diabetes Education Program has prepared this toolkit to provide health care professionals and teams with evidence and resources to identify, counsel, and support patients to prevent or delay the onset of type 2 diabetes. National Diabetes Education Program

Management of Diabetes in the Elderly

This article outlines how health care professionals should tailor diabetes management to their elderly patients, including simplifying treatment plans and relaxing A1c and blood pressure goals in favor of quality of life and minimizing drug side effects. Medical Clinics of North America, December 2014

Managing Older ​People with Type 2 Diabetes

This resource gives specific evidence-based clinical guidelines for older adults with diabetes. The recommendations are designed to support health care professionals to provide a multidimensional, integrated approach to the comprehensive management of diabetes in older adults. International Diabetes Federation (IDF)

National Diab​etes Prevention Program

The National Diabetes Prevention Program (NDPP) is a public-private partnership of community organizations, private insurers, health care organizations, employers, and government agencies. Partners work to establish local evidence-based lifestyle change programs for people at high risk for type 2 diabetes. Centers for Disease Control and Prevention

Polypharmacy in the Aging Patient: A Review of Glycemic Control in Older Adults With Type 2 Diabetes

This journal article discusses the substantial uncertainty about optimal glycemic control in older adults with type 2 diabetes. Most randomized clinical trials of intensive vs. standard glycemic control excluded adults older than 80 years, used surrogate end points to evaluate microvascular outcomes, and provided limited data on which subgroups are most likely to benefit or be harmed by specific therapies. JAMA

Special Challenges in Elderly Patients With Diabetes

Historically, geriatric adults with diabetes have been given similar treatment goals as younger adults. However, there is increasing recognition that geriatric patients differ from younger patients, and there are important differences even within the geriatric population. Therefore, it is critical for health-care professionals to understand changes associated with aging and how these can impact diabetes treatment in order to best individualize care. Practical Diabetology, November/December 2014

Special Considerations in the Management and Education of Older Persons with Diabetes AADE Practice Advisory

Life expectancy at birth in the United States was 78.1 years in 2008 and older people will represent more than 20% of all Americans by 2036.1 The U.S. Census Bureau projects that the number of older Americans will rise to 80.5 million by 2050. The burden of diabetes is high among older Americans and is increasing. The Centers for Disease Control and Prevention (CDC) reported that, as of 2010, one in five non-institutionalized older Americans had been diagnosed with diabetes and they accounted for almost 40% of all diabetes cases. The challenges of diabetes self-management also increase with age. Normal age-related deterioration in mental and physical functioning tends to interfere with effective self-management of diabetes, especially after age 75. For simplicity, this practice advisory classifies those aged 65 or older as older adults. American Association of Diabetes Educators

The Psychosocial Challenges and Care of Older Adults with Diabetes: "Can’t Do What I Used To Do; Can’t Be Who I Once Was"

The prevalence of diabetes is increasing in older populations worldwide. Older adults with diabetes have unique psychosocial and medical challenges that impact self-care and glycemic control. These challenges may include psychological factors such as depression or anxiety, social factors such loss of independence and removal from home environment/placement in a facility, and medical factors such as multiple comorbidities and polypharmacy. Importantly, these challenges interact and complicate the everyday life of the older adult with diabetes. Thus, timely identification and interventions for psychosocial and medical challenges are a necessary component of diabetes care. This review summarizes the current literature, research findings, and clinical recommendations for psychosocial care in older adults with diabetes. Current Diabetes Reports

The physiological mechanisms of diabetes and aging on brain health and cognition: Implications for nursing practice and research.

A substantial proportion of individuals over the age of 65 years will experience some degree of cognitive impairment, and older adults with diabetes are at increased risk for these impairments. Such impairments can negatively affect activities of daily living and lead to a decrease in quality of life as well as increase caregiver burden. Cumulatively, the effects of diabetes and aging slowly diminish cognitive function, resulting in various degrees of cognitive impairment including dementia. In fact, older adults with diabetes have a 65% higher chance of developing Alzheimer disease than those without diabetes. This article reviews the synergistic effects of aging and diabetes on cognitive function. A discussion of the physiologic basis for these effects is included, in particular, the role of insulin in the brain. The final section focuses on intervention strategies that can be used by nurses and allied healthcare providers to mitigate the influence of diabetes and aging so that optimal cognitive performance is maintained. Journal of Neuroscience Nursing

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The U.S. Department of Health and Human Services’ National Diabetes Education Program (NDEP) is jointly sponsored by the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC) with the support of more than 200 partner organizations.

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