Abstract

Nearly 8% of the United States population has diabetes mellitus, and nearly 25% of those who have diabetes are undiagnosed. Older adults have the highest prevalence and incidence of diabetes and diabetes among this group presents a large medical and economic challenge to society. Diabetes greatly impacts the health of older adults with regard to both cardiovascular and non-cardiovascular complications. Cardiovascular diseases impacted by diabetes include coronary artery disease, stroke, congestive heart failure, autonomic dysfunction, atrial fibrillation, peripheral artery disease and hypertension. Non-cardiovascular diseases include cognitive decline; liver, bone, kidney and eye disease; disability, mobility decline; and cancer. With the increasing incidence and prevalence of diabetes, the prevention of these conditions is becoming increasingly urgent.

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