Geriatric Diabetes

This new edition of the popular and market-leading Diabetes in Old Age features up-to-date and comprehensive information about the key aspects of managing older people with diabetes, predominantly type 2 diabetes. With a strong evidence-based focus throughout, the entire range of issues surrounding diabetes and its many complications are covered, each with a clear focus on how they relate directly to the older patient. Varying approaches to optimizing diabetes care in the community, primary care and secondary care health care arenas are presented, and the importance of comprehensive functional assessment is emphasized. Coverage of areas unique to an ageing population of older people with diabetes such as falls management, frailty and sarcopenia, and cognitive dysfunction form a key cornerstone of the book. In every chapter, best practice points and key learning outcomes are provided, as well as published evidence bases for each major conclusion. Diabetes in Old Age, 4th edition is essential reading for diabetologists and endocrinologists, diabetes specialist nurses, primary care physicians, general physicians and geriatricians, podiatrists and dieticians with an interest in diabetes, as well as all health professionals engaged in the delivery of diabetes care to older people.

The number of elderly patients with diabetes is increasing at a significant rate. Responding to this growth, this source serves as a solid arsenal of information on the varying presentations and challenges associated with diabetes in the geriatric patient, and supplies clearly written sections on the screening, diagnosis, and treatment of diabetes

This book is intended for all members of the health care team who look after elderly people with diabetes mellitus. This includes specialist nurses in diabetes and care of the elderly, other nurses who might be involved with elderly diabetic patients, hospital doctors, general practitioners, dietitians, and other paramedical staff as well as students in these various disciplines. It is not an exhaustive text, but includes plenty of back ground references for those who wish to pursue a topic further. FOREWORD It has been said that old age is not so bad when you consider the alternative; but, fortunately on occasion symptoms attri buted to ageing are due to treatable disease. This useful book draws attention to diabetes mellitus, a common illness in elderly people, which can cause serious disability and should be diagnosed promptly and treated correctly. In this text the facts are well documented that the diagnosis may alarm old people and thus a full explanation must be given and the likely benefits of an adequate therapeutic regimen described. Drs Paul Knight and Colin Kesson are physicians intimately concerned with the day to day diagnosis and treatment of diabetes and they have enlisted the assistance of colleagues of outstanding ability, thus demonstrating the vital importance of teamwork in the control of this disease.

This issue of Clinics in Geriatric Medicine, edited by Drs. Dan Blazer and Susan Schultz, will cover a number of important aspects of Geriatric Psychiatry. Topics in this issue include, but are not limited to: Delirium in the elderly, Depression and cardiac disease in later life, Schizophrenia in later life, Anxiety Disorders in later life, Neurological changes and depression, Behavioral Changes with Alzheimer’s Disease and Vascular Dementia, Palliative Care in Dementia and Chronic Mental Illness, Collaborative Care for the elderly with psychiatric disorders, and Post Traumatic Stress Disorders in the elderly.

Diabetes Management in Long-Term Settings is a clinical guide for the treatment of elderly patients with diabetes. With the number of older adults growing exponentially and with a growing percentage of this group facing diabetic and prediabetic conditions, Diabetes Management in Long-Term Settings will help physicians, nurses, pharmacists, and administrators develop effective programs to care for this growing population. It is a practical clinical guide outlining the protocols of geriatric diabetes care and will be a sought-after reference for all clinicians.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. Elsa S. Strotmeyer, is devoted to Medical Complications of Diabetes in Older Adults. Articles in this issue include: Glucose Dysregulation: Pathophysiology and Prevention; Diabetic Medications and Polypharmacy; Physical Function and Disability; Diabetes and Osteoarthritis; Adiposity, Muscle Mass, and Diabetes; Exercise and Weight Loss in Diabetes Management; Diabetes and Cognition; Diabetes and Depression; Sleep Apnea and Diabetes; Diabetes and Coronary Artery Disease; and Diabetes and Balance and Falls.

The management of older people with diabetes requires careful attention to the specific needs of this age group. This practical handbook addresses the issues surrounding the care of older diabetic patients, including dementia, frailty, depression and cardiovascular risk. Intended for day-to-day use in clinical practice, each chapter closes with a list of salient practical points in the clinical management of older patients with diabetes. Concisely written by authorities in the field, this book is a valuable resource for all those involved in the diabetes care of older people .

Presenting current knowledge regarding the relationship between exercise and diabetes, this publication discusses in detail the physiologic, molecular and genetic mechanisms involved in this interaction. Further, the book presents valuable information on the role of exercise in the treatment and management of diabetes through the life course, including gestational diabetes, diabetes in children, and in the elderly. Notably, the role of diet in modulating the relationship between exercise and diabetes is explored, and for the first time, the importance of sedentary behavior, rather than exercise, is highlighted. The current public health guidelines for type 2 diabetes are presented, as well as practical recommendations for the management of type 1 diabetes. Finally, in each chapter areas of further investigations are emphasized. The book provides a valuable and up-to-date overview and is highly recommended to researchers, students, clinicians, including physicians, dieticians, biokineticists, physiotherapists, nurses and diabetes educators.