Insulin therapy in older age
Authors:
Vladimír Uličiansky
Authors place of work:
Via medica, s. r. o., Košice
Published in the journal:
Forum Diab 2017; 6(2): 84-87
Category:
Topic
Summary
Diabetes mellitus is one of the most common chronic diseases affecting older persons. Evaluating the patient on an individual basis, and determining the functional status is essential for optimal management. The type of insulin (basal, premixed and prandial) now provides flexibility to tailor treatment regimens to individual needs. In older people with diabetes, long acting insulins use can be safe and efficacious. They can be used easily with oral glucose lowering agents.
Key words:
diabetes mellitus, insulin, older people
Received:
24. 4. 2017
Accepted:
10. 5. 2017
Zdroje
1. Hegyi L. Gerontológia teoretická, klinická a sociálna. In: Hegyi L, Krajčík Š. Geriatria. Herba: Bratislava 2010:17–24. ISBN 9788089171736.
2. Sinclar AJ. Diabetes in Old Age. In: Holt RIG, Cockram CS, Flyvbjerg A et al. Textbook of Diabetes. 4th ed. Wiley & Blackwell: Oxford 2010: 922–939. ISBN 1405191813.
3. Uličiansky V. Diabetes mellitus v staršom veku. In: Mokáň M, Martinka E, Galajda P et al. Diabetes mellitus a vybrané metabolické ochorenia. P+M: Martin 2008: 861–868. ISBN 9788096971398.
4. Inzuchi SE, Bergenstal RM, Buse JB et al. Management of hyperglycemia in type 2 diabetes: a patient-centered approach: position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD. Diabetes Care 2012; 35(6): 1364–1379. Dostupné z DOI: <http://dx.doi.org/10.2337/dc12–0413>.Erratum in Diabetes Care 2013; 36(2): 490.
5. Uličiansky V, Schroner Z. Komplexná starostlivosť o seniorov s diabetom mellitom. Interná med 2010; 10(4): 179–184.
6. Škrha J, Rybka J. Diabetes mellitus ve stáří. In: Škrha J et al. Diabetologie. Galén: Praha: 2009: 364–371. ISBN 9788072626076.
7. Mokáň M. Hypoglykémia. Vnitř Lék 2008; 54(4): 387–394.
8. Uličiansky V, Schroner Z, Galajda P et al. Diabetes mellitus v zrelom veku. Quick Print: Martin 2013. ISBN 978-80-971417-1-4.
9. Sinclair AJ, Paolisso G, Castro M et al. European Diabetes Working Party for Older People 2011 clinical guidelines for type 2 diabetes mellitus. Executive summary. Diabetes Metab 2011; 37(Suppl 3): S27-S38. Dostupné z DOI: <http://dx.doi.org/10.1016/S1262–3636(11)70962–4>.
10. Kirkman MS, Briscoe VJ, Clark N et al. Diabetes in Older Adults. Consensus report. Diabetes Care 2012; 35(12): 2650–2664. Dostupné z DOI: <http://dx.doi.org/10.2337/dc12–1801>.
11. Colagiuri S [IDF Guidelines Task Force Chair], Sinclair A [IDF Working Group Co-Chair]. Managing Older People with Type 2 diabetes. Global guideline. Dostupné z WWW: <https://www.idf.org/e-library/guidelines/78-global-guideline-for-managing-older-people-with-type-2-diabetes.html>.
12. Kalvach Z, Holmerová I, Jurašková B et al. Geriatrická deteriorace, křehkosť a disabilita. In: Geriatrické syndrómy a geriatrický pacient. Grada: Praha 2008: 111–139. ISBN 978–80–247–2490–4.
13. Svačina Š, Karen I, Jurašková B. Diabetes mellitus. Léčba u starších pacientů v ČR. Doporučené diagnostické a terapeutické postupy pro všeobecné praktické lékaře. Dostupné z WWW: <http://www.svl.cz/files/files/Doporucene-postupy-od-2013/DM.pdf>.
14. Ismail-Beigi F, Moghissi E, Tiktin M et al. Individualizing glycemic targets in type 2 diabetes mellitus: implications of recent clinical trials. Ann Intern Med 2011; 154(8): 554–559. Dostupné z DOI: <http://dx.doi.org/10.7326/0003–4819–154–8-201104190–00007>.
15. Inzuchi SE, Bergenstal RM, Buse JB et al. Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care 2015; 38(1):140–149. Dostupné z DOI: <http://dx.doi.org/10.2337/dc14–2441>.
16. Uličiansky V, Schroner Z, Némethyová Z et al. Personalizovaná medicína v diabetológii v kontexte odporúčaní ADA/EASD 2015. Forum Diab 2015; 4(2): 102–118.
17. American Diabetes Association Standards of Medical Care in Diabetes 2017. Pharmacologic Approaches to Glycemic Treatment. Diabetes Care 2017; 40(Suppl 1): S64-S74. <https://doi.org/10.2337/dc17-S011>.
18. Garber AJ, Abrahamson MJ, Barzilay JI et al. Consensus Statement by the American Association of Clinical Endocrinologists and American College of Endocrinology on the Comprehensive Type 2 Diabetes Management Algorithm – 2017 Executive Summary. Endocr Pract 2017; 23(2): 207–238. Dostupné z DOI: <http://dx.doi.org/10.4158/EP161682.CS>.
19. Sinclair AJ, Finucane P (eds). Diabetes in Old Age. 2nd ed. Chichester Wiley & Sons 2000. ISBN 978–0471490104.
20. Martinka E, Uličiansky V, Mokáň M et al. Konsenzuálny terapeutický algoritmus pre diabetes mellitus 2. typu. Forum Diab 2016; 5(2): 99–108. Dostupné z WWW: <http://www.forumdiabetologicum.sk/forum-diabetologicum-clanek/konsenzualny-terapeuticky-algoritmus-pre-diabetes-mellitus-2-typu-v-sulade-s-spc-aktualnym-znenim-indikacnych-58423?confirm_rules=1>.
21. Informácie z Európskej liekovej agentúry (EMA) a Súhrny charakteristických vlastností liekov (SPC), ktoré boli schválené v rámci Európskej únie. Dostupné z WWW:
Štítky
Diabetology Endocrinology Internal medicineČlánok vyšiel v časopise
Forum Diabetologicum
2017 Číslo 2
Najčítanejšie v tomto čísle
- Overinsulinization – the frequent cause of unsatisfactory glycemic control: case reports
- Insulin in the therapeutic scheme for type 2 diabetes mellitus
- Insulin therapy during pregnancy
- Factors conducive to optimal control of type 1 diabetes mellitus in childhood and adolescence