Abstract
The prevalence of diabetes increases with age became higher in elderly and in patients admitted to nursing home. During aging, a functional reduction of the beta cell and increase in insulin resistance causes a greater risk in developing diabetes mellitus. It is also well known that association between aging and insulin resistance, recognizes a multifactorial origin. In elderly, both reduced physical activity and increase of visceral adipose tissue may play a causal role that it at least partly follows. Older adults with diabetes have higher rates of functional disability and sudden death, and concomitant diseases such as hypertension, coronary heart disease and stroke than those without diabetes. Older adults with diabetes are at increased risk for several common geriatric syndromes, such as polypharmacy and adverse reaction to drugs, depression, cognitive impairment, urinary incontinence, and persistent pain. In particular, the risk of macrovascular events is doubled and it is related to the duration of illness, the metabolic compensation and the number of other cardiovascular risk factors already present. Most of the elderly subjects in Long-term care (LTC) facilities are frail. The treatment of the elderly with diabetes is complicated by the heterogeneity of functional and clinical status. Life expectancy and the clinical conditions are highly variable. In these patients who take care of elderly people with diabetes must take this heterogeneity of account when establishing the priorities and goals of treatment
Highlights
The objective of the present paper is to provide recommendations for the management of patients hospitalized frail elderly admitted to nursing home, Extensive Rehabilitation, associated with ANASTE Calabria
Diabetes is common in Long-term care (LTC) facilities, with an overall diabetes prevalence of 25% [3]
The increase in the number of diabetic patients with age is consistent with the association of the aging processes to the decline in glucose tolerance and to an increased risk of developing type 2 diabetes [5,6]
Summary
The objective of the present paper is to provide recommendations for the management of patients hospitalized frail elderly admitted to nursing home, Extensive Rehabilitation, associated with ANASTE Calabria. The prevalence of diabetes mellitus was 27.5% in elderly patients in residential facilities associated ANASTE Calabria and the average age of patients with diabetes is 79.8 years [4]. The onset of diabetes in the elderly is overwhelmingly related to the decline of beta-cell function and the consequent decrease in insulin secretion both in basal conditions and in response to glucose [6,7,8] It is well known the association between aging and insulin resistance, recognizes a multifactorial origin. The frail elderly may be defined as a person of advanced age, or very advanced, chronically suffering from multiple diseases, with unstable health, often disabled, in which the effects of aging and diseases are often complicated by socio– economic problems [15] Another feature of the elderly population living in LTC is the polypharmacy. J Gerontol Geriat Res 2: 128. doi:10.4172/2167-7182.1000128
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