Journals of Gerontology Series A: Biological Sciences and Medical Sciences Large Type Edition
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The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 56:M5-M13 (2001)
© 2001 The Gerontological Society of America

Diabetes in Elderly Adults

Graydon S. Meneillya and Daniel Tessierb

a Division of Geriatric Medicine, Department of Medicine, University of British Columbia, Vancouver, Canada
b Division of Geriatric Medicine, Department of Medicine, University of Sherbrooke, Quebec, Canada

Graydon S. Meneilly, Room S 169, Vancouver Hospital and Health Sciences Centre, UBC Site 2211, Wesbrook Mall, Vancouver, BC V6T 2B5, Canada E-mail: meneilly{at}interchange.ubc.ca.

Decision Editor: John E. Morley, MB, BCh

Diabetes is common in the elderly population. By the age of 75, approximately 20% of the population are afflicted with this illness. Diabetes in elderly adults is metabolically distinct from diabetes in younger patient populations, and the approach to therapy needs to be different in this age group. Diabetes is associated with substantial morbidity from macro- and microvascular complications. Several lines of evidence suggest that optimal glycemic control and risk factor modification can substantially reduce the risk of complications in elderly patients. In the past, treatment options were limited. However, recent studies have delineated several new and exciting therapeutic opportunities for elderly patients with diabetes.




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