Hypoglycemia, frailty and dementia in older people with diabetes: Reciprocal relations and clinical implications.

Abstract:

:The relationships between hypoglycemia, frailty and dementia appear to be reciprocal and can lead to a vicious circle. Frailty appears to be a crucial factor increasing the risk for both hypoglycemia and dementia, initiating the reciprocal relationships. Weight loss is likely to be the underlying risk factor for frailty. Many frail older people with diabetes seem to have unnecessarily tight glycemic control, being treated with hypoglycemic medications that likely increase the risk of hypoglycemia. As patients get older with significant weight loss their glycemic targets should be reviewed, and reduction or even withdrawal of their hypoglycemic medications should be considered.

authors

Abdelhafiz AH,McNicholas E,Sinclair AJ

doi

10.1016/j.jdiacomp.2016.07.027

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

1548-1554

issue

8

eissn

1056-8727

issn

1873-460X

pii

S1056-8727(16)30329-4

journal_volume

30

pub_type

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