The Pathophysiology of Hyperglycemia in Older Adults: Clinical Considerations

Author:

Lee Pearl G.12ORCID,Halter Jeffrey B.2

Affiliation:

1. Geriatric Research Education and Clinical Center, VA Ann Arbor Healthcare System, Ann Arbor, MI

2. Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI

Abstract

Nearly a quarter of older adults in the U.S. have type 2 diabetes, and this population is continuing to increase with the aging of the population. Older adults are at high risk for the development of type 2 diabetes due to the combined effects of genetic, lifestyle, and aging influences. The usual defects contributing to type 2 diabetes are further complicated by the natural physiological changes associated with aging as well as the comorbidities and functional impairments that are often present in older people. This paper reviews the pathophysiology of type 2 diabetes among older adults and the implications for hyperglycemia management in this population.

Funder

VA Career Development Award

Publisher

American Diabetes Association

Subject

Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine

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