Diabetes Management in Aging Population: Goals, Outcomes, and Areas for Improvement

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Area of concern: Diabetes
The prevalent issue of concern regards diabetes diseases that constantly increases gradually as
more aging individuals live longer and growing heavier. Aging adults of the age bracket 65 years
and above having diabetes are huge risks of developing some spectrum of microvascular effects
and complications (Ahtiluoto et al,2010).Conversely, their existing tremendous risk for macro
vascular complications is sustainably enormous than for the young population. Additionally, they
are also a higher risk of developing polypharmacy, various functional disabilities, and the normal
geriatric syndromes. These complications include the growth of cognitive impairment,
nervousness, depression and a lot of incontinence urinary complications having persistent pain.
The diabetes data management in older patients differs from the dataset generated and that
acquired over a given period of time. It also differs between the old population and younger
patients.
Goals
The ultimate goals of diabetes management concern in an aging population are quite the same as
those for the young adults which involves managing goals revolving around hyperglycemia and
risk factors occurring. Evidently in weak older adults with diabetes disease, avoiding
hypoglycemia, hypotension and various therapeutic drug interactions as a result of polypharmacy
is of huge concern that their young counterparts with diabetes (Cagnacci, Boitani, Powell &
Boyce,2010). Managing the prevailing medical conditions is significant since it impacts their
capability to accomplish self-management goal for glycemic control. The risk factors
management goals ought to be based upon the patient's overall health concerns. The cognitive
functions and status literally affect the life expectancy and also risk complications.

Controlling hyperglycemia
There exist virtually no goal trials that have evaluated control of glycemic and complications that
consider more on older people thus existing fewer data generated specifically addressing
maximum glycemic goals in the overall medication that treat aging patients( Gardete‐Correia et
al 2010). The older patients with diabetes disease are a normally heterogeneous population
which include people living independently in communities.
They are usually aided by care facilities or immediate nursing homes. They can either be fit or
frail with various comorbidities and also functional disabilities. The appropriate target goal
involves correct utilization of gyrated hemoglobin (AIC) individualized depending on health
issues and life expectancy rate (Huang, Dong, Lu, Yue, & Liu,2010 It also depends on the ability
of the old patient to adopt strategies to specified treatment medication.
Unavailability of any long-term existing clinical trial data in more health old community and in
elderly individuals with less life expectancy rate, an AIC goal of less than 7%(59.1mmol/mol)
ought to be focused in medication-treated individuals. In order to achieve this particular goal,
pre-prandial level of glucose must be between 139-149 mg/LD. The glycemic goal must be a bit
higher in medication-treated for the frail older people having consistent medical and functional
comorbidities.
The improved treatment of diabetes disease in an old community is determined by the clinical
recognition and diagnosis of this particular condition. Individualized treatment goals are
normally established with the utilization of individualized therapeutic regimens (Johnston,&
Sabin,2010). The goals usually depend on lifestyle modification, for example, diet and exercise
level of the old patient as the basis for such therapeutic goals. A lot of care should be undertaken

in order to avoid therapeutic complications like hypoglycemia. The increased prevention of these
specific complications should be achieved since the elderly community is prone to high risks of
these complications. There also involves the goal of diabetes care
Individualized goals for the old patients, for instance, those frail ones who cannot be able to offer
self-care might be higher more than 8.4%. It should also comprise of increased methods to
preserve life quality, avoidance of hypoglycemia and the complications. The generated data is
more accurate.
Outcomes
Hyperglycemia usually raises dehydration levels, leads to impairment of vision and cognition. It
raises the risks of infections that lead to functional reduction and various risks of a decline in
older diabetic patients (Ling, et al, 2010).
An older patient might tolerate high-level blood glucose immediately before having much
osmotic diuresis. In addition, the side effects of treatment goals often result in relatively poor
outcomes, for example, traumatic and occurrence comorbid issues. The results of the goals to
control diabetes trial indicates that existing intensive therapy I older patients at high risks of
cardiovascular conditions contributes to the optimization of the risks and increased mortality
outcomes.
Hypoglycemia must be avoided in older patients. It is a significant approach in deciding drug
agents and proper establishment of glycemic goals. Insulin should thus be utilized with caution
in weak old adults.