Noninsulin Diabetes Therapies in Older Adults

Clin Geriatr Med. 2020 Aug;36(3):385-394. doi: 10.1016/j.cger.2020.03.001. Epub 2020 Apr 3.

Abstract

Diabetes risk increases with age due to changes in β-cell function and increased insulin resistance and is one of the most common chronic medical conditions in the elderly. Diabetes management in this population requires a multidisciplinary, patient-centric approach due to wide heterogeneity in patients' health and functional capacities. Meticulous assessment of each patient before formulating a regimen and thorough patient education are keys to success in achieving glycemic goals, which should be individualized. Lifestyle modification is recommended for every patient.

Keywords: Diabetes; Goal-based algorithm; Medications; Older adults; Therapies.

Publication types

  • Review

MeSH terms

  • Aged
  • Cognition
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Disease Management
  • Healthy Lifestyle*
  • Humans
  • Hypoglycemic Agents / therapeutic use*
  • Metformin / therapeutic use*

Substances

  • Hypoglycemic Agents
  • Metformin