Review article
Diabetes in Elderly
Davorka Vrdoljak
; University of Split, School of Medicine, Department of Family Medicine, Split, Croatia
Renata Pavlov
orcid.org/0000-0001-6509-4907
; Family Practice »Dr. Renata Pavlov«, Zagreb, Croatia
Abstract
Diabetes is a major public health problem in the world and one of the leading causes of morbidity and mortality from
cardiovascular and chronic kidney disease. Aging of the population is expected to further increase the prevalence of type
2 diabetes, particularly in the age group over 65. According to the 2011 census, in Croatia, 17.7% of the population were
elderly, and the estimated prevalence of diabetes in this age group is 15–20%. Taking care of elderly diabetics has its own
characteristics compared to other age groups, and a particular challenge for the family physician due to comorbidity and
polymedication, as well as more frequent complications of the disease and more common side effects of treatment. The
aim of this article is to show the treatment of diabetes in elderly, in the light of new studies (ACCORD, ADVANCE and
VADT), and to present revised professional societies (ADA, AHA, ACC) recommendations, focusing on the individualized
approach.
Keywords
type 2 diabetes; elderly; family medicine; comorbidity; polymedication
Hrčak ID:
147559
URI
Publication date:
29.12.2014.
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