4.3 Article

Epidemiology of Diabetes and Diabetes Complications in the Elderly: An Emerging Public Health Burden

Journal

CURRENT DIABETES REPORTS
Volume 13, Issue 6, Pages 805-813

Publisher

CURRENT MEDICINE GROUP
DOI: 10.1007/s11892-013-0425-5

Keywords

Elderly; Diabetes; Epidemiology; Complications; Public health burden

Funding

  1. NIH/NIDDK [K23-DK093583, T32 DK062707]
  2. Johns Hopkins Older Americans Independence Center [P30-AG021334]

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Diabetes in the elderly is a growing public health burden. Persons with diabetes are living longer and are vulnerable to the traditional microvascular and macrovascular complications of diabetes but also at increased risk for geriatric syndromes. Peripheral vascular disease, heart disease, and stroke all have a high prevalence among older adults with diabetes. Traditional microvascular complications such as retinopathy, nephropathy, and neuropathy also frequently occur. Unique to this older population is the effect of diabetes on functional status. Older adults with diabetes are also more likely to experience geriatric syndromes such as falls, dementia, depression, and incontinence. Further studies are needed to better characterize those elderly individuals who may be at the highest risk of adverse complications from diabetes.

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