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2014糖尿病指南: Diabetes Care in Older Adults

(2014-10-22 07:36:43) 下一个
Older adults who are
   • Functional
   • Cognitively intact
   • Expected to live long enough to reap benefits
Same treatment goals as younger adults

Glycemic targets: may be relaxed for some older adults based on individual criteria
   • Avoid hyperglycemic complications

Treat CV risk factors considering
   • Timeframe of benefit, individual patient characteristics
   • Hypertension treatment indicated in many older adults
   • Lipid, aspirin therapy may benefit patients whose life expectancy is equal to timeframe of primary or secondary prevention trials

Individualize screening for complications
   • Be mindful of complications that may lead to functional impairment
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