Document Detail


Evaluating older patients with diabetes for insulin pump therapy.
MedLine Citation:
PMID:  20515314     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The increasing prevalence of diabetes among elderly patients underscores the importance of matching the most effective therapy for diabetes self-management with patients' cognitive and motor skills, as these diminish with advancing age. Although many geriatric patients state interest in insulin pump therapy for tight glycemic control, few studies have examined the effectiveness, safety, and feasibility of insulin pumps compared to traditional injected insulin therapy in older age groups. It is important, therefore, for physicians to recognize the indications and the age-related barriers to insulin pump therapy in geriatric patients. Indications include glucose variability, hypoglycemia, and poor glycemic control with traditional insulin regimens. Common barriers include poor vision, dexterity, and cognitive status. Successful implementation of insulin pump therapy for older patients requires an experienced diabetes management team that can assess patient needs and tailor therapy in the context of age-related disabilities.
Authors:
Elizabeth A Stephens; John Heffner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diabetes technology & therapeutics     Volume:  12 Suppl 1     ISSN:  1557-8593     ISO Abbreviation:  Diabetes Technol. Ther.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-09-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100889084     Medline TA:  Diabetes Technol Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S91-7     Citation Subset:  IM    
Affiliation:
Department of Medical Education, Oregon Health & Science University, Portland, OR 97213, USA. Elizabeth.Stephens@providence.org
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MeSH Terms
Descriptor/Qualifier:
Aged / psychology
Blood Glucose / drug effects,  metabolism
Cognition
Diabetes Mellitus / blood,  drug therapy*,  epidemiology
Hemoglobin A, Glycosylated / metabolism
Humans
Hypoglycemic Agents / administration & dosage
Insulin / administration & dosage
Insulin Infusion Systems*
Middle Aged
Patient Care Team
Prevalence
Problem Solving
Self Care
United States / epidemiology
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Hemoglobin A, Glycosylated; 0/Hypoglycemic Agents; 11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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