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Review article

Diabetes in Elderly

Davorka Vrdoljak ; University of Split, School of Medicine, Department of Family Medicine, Split, Croatia
Renata Pavlov orcid id orcid.org/0000-0001-6509-4907 ; Family Practice »Dr. Renata Pavlov«, Zagreb, Croatia


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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

https://hrcak.srce.hr/147559

Publication date:

29.12.2014.

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