Management of Inpatient Hyperglycemia and Diabetes in Older Adults

Georgia M. Davis, Kristen DeCarlo, Amisha Wallia, Guillermo E. Umpierrez, Francisco J. Pasquel*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Diabetes is one of the world's fastest growing health challenges. Insulin therapy remains a useful regimen for many elderly patients, such as those with moderate to severe hyperglycemia, type 1 diabetes, hyperglycemic emergencies, and those who fail to maintain glucose control on non-insulin agents alone. Recent clinical trials have shown that several non-insulin agents as monotherapy, or in combination with low doses of basal insulin, have comparable efficacy and potential safety advantages to complex insulin therapy regimens. Determining the most appropriate diabetes management plan for older hospitalized patients requires consideration of many factors to prevent poor outcomes related to dysglycemia.

Original languageEnglish (US)
Pages (from-to)491-511
Number of pages21
JournalClinics in Geriatric Medicine
Volume36
Issue number3
DOIs
StatePublished - Aug 2020

Keywords

  • Diabetes
  • Elderly
  • Hospitalized
  • Hyperglycemia
  • Incretin
  • Inpatient
  • Insulin
  • Older adults

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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