期刊
CLINICS IN GERIATRIC MEDICINE
卷 24, 期 3, 页码 407-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cger.2008.03.011
关键词
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资金
- NIA NIH HHS [R01 AG028050, R01 AG028050-01A2] Funding Source: Medline
Diabetic neuropathy is a heterogeneous disease with diverse pathology. Recognition of the clinical homolog of these pathologic processes is necessary in achieving appropriate intervention. Treatment should be individualized so the particular manifestation and underlying pathogenesis of each patient's clinical presentation are considered. In older adults, special care should be taken to manage pain while optimizing daily function and mobility, with the fewest adverse medication side effects. Older adults are at great risk for falling and fractures because of instability and weakness, and require strength exercises and coordination training. Ultimately agents that address large fiber dysfunction will be essential to reduce the gross impairment of quality of life and activities of daily living that neuropathy visits older people who have diabetes.
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