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Emerging Science and Concepts for Management of Diabetes and Aging

Management of Inpatient Hyperglycemia and Diabetes in Older Adults

  1. Guillermo E. Umpierrez⇑ and
  2. Francisco J. Pasquel
  1. Division of Endocrinology, Metabolism and Lipids, Department of Medicine, Emory University School of Medicine, Atlanta, GA
  1. Corresponding author: Guillermo E. Umpierrez, geumpie{at}emory.edu.
Diabetes Care 2017 Apr; 40(4): 509-517. https://doi.org/10.2337/dc16-0989
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    Figure 1

    Longitudinal data on all-cause hospitalizations in the ARIC Study (15). Data are presented according to diabetes and HbA1c categories.

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    Figure 2

    Pathophysiology of hyperglycemia and its complications in older adults. TG, triglycerides.

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    Figure 3

    Insulin therapy in hospitalized elderly patients with diabetes.

Tables

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  • Table 1

    Factors contributing to inpatient hypoglycemia in older adults with diabetes

    Medications: insulin, sulfonylureas, glinides, quinolones
    Intensive glycemic control
    Inappropriate insulin dosing and medication errors
    Poor coordination of insulin administration and food delivery
    Interruption of enteral nutrition or parenteral nutrition infusion
    Hypoglycemia unawareness
    Renal insufficiency
    Liver failure
    Severe illness, sepsis
    Dementia
    Frailty
    Medical and surgical procedures
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Diabetes Care: 40 (4)

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April 2017, 40(4)
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Management of Inpatient Hyperglycemia and Diabetes in Older Adults
Guillermo E. Umpierrez, Francisco J. Pasquel
Diabetes Care Apr 2017, 40 (4) 509-517; DOI: 10.2337/dc16-0989

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Management of Inpatient Hyperglycemia and Diabetes in Older Adults
Guillermo E. Umpierrez, Francisco J. Pasquel
Diabetes Care Apr 2017, 40 (4) 509-517; DOI: 10.2337/dc16-0989
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  • Article
    • Abstract
    • Introduction
    • Prevalence
    • Economic Burden
    • Pathophysiology
    • Clinical Presentation
    • Glycemic Control Trials in Elderly Populations
    • Inpatient Hypoglycemia
    • Glycemic Targets
    • Management of Hyperglycemia in the ICU
    • Management of Hyperglycemia in Noncritical Care Settings
    • Supplemental/Correction Doses of Regular Insulin (“Sliding Scale”)
    • Noninsulin Therapies
    • Hospital Discharge Planning
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More in this TOC Section

  • The Pathophysiology of Hyperglycemia in Older Adults: Clinical Considerations
  • Trends in Drug Utilization, Glycemic Control, and Rates of Severe Hypoglycemia, 2006–2013
  • A Proposal for an Out-of-Range Glycemic Population Health Safety Measure for Older Adults With Diabetes
Show more Emerging Science and Concepts for Management of Diabetes and Aging

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