Inpatient Management of T2DM and Hyperglycemia in Older Adults

Kristen DeCarlo, Amisha Wallia*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

Purpose of Review: This review aims to provide a summary of the evaluation and treatment of older adults (≥ 65 years) with type 2 diabetes and/or hyperglycemia in the hospital. Recent Findings: Caring for these older adults requires special considerations. Diabetes is a risk factor for hospitalization and hyperglycemia in the hospital is associated with increased complications and mortality. Treatment plans for hospitalized older adults with diabetes should include a comprehensive geriatric assessment. This team-based approach aims to develop an individualized care plan, with consideration of the patients’ personal goals, comorbidities, functional status, life expectancy, and hypoglycemia risk. Studies from hospitalized middle age and older adults with hyperglycemia can help guide diabetes treatment goals and management in older adults. Summary: Further studies, examining both glucose targets and care management assessments and treatment plan specifically targeting older adults in the hospital setting, are needed.

Original languageEnglish (US)
Article number104
JournalCurrent diabetes reports
Volume19
Issue number10
DOIs
StatePublished - Oct 1 2019

Keywords

  • Comprehensive geriatric assessment
  • Inpatient diabetes
  • Inpatient hypoglycemia
  • Insulin treatment
  • Older adult

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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