Hypoglycaemia in elderly diabetics

Česká verzia

Authors: Marián Mokáň; Peter Galajda
Authors place of work: I. Interná klinika JLF UK a UN Martin
Published in the journal: Forum Diab 2020; 9(3): 153-157
Category: Review Article

Summary

Hypoglycaemia is limiting factor of treatment of patients with diabetes mellitus. Older age is significant risk factor for hypoglycaemia and incidence of hypoglycaemia is significantly increased after age of 75 years. Neurological symptoms without warning autonomic signs occur more often in older age. Hypoglycaemia in these patients have severe consequences and can worsen their survival. Risk factors of hypoglycaemia in older patients include cognitive dysfunction, dementia, cardiovascular diseases, chronic kidney disease and other comorbidities. In older patients with higher risk of hypoglycaemia we prefer less strict glycaemic control and treatment with low risk of hypoglycaemia.

Keywords:

cardiovascular diseases – chronic kidney disease – cognitive dysfunction – dementia – diabetes mellitus – hypoglycaemia – older age

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