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新来的大夫,他在瞎扯淡:
https://diabetesjournals.org/car ... re-in-Diabetes-2025
我刚搜了:
鸟国糖尿病协会更新了护理和建议指南,有一章专门说老年人血糖的更新,其中细节很多,老年人身体状况不同的情况三个阶段状况,进行不同的监测和选择。
The care of older adults with diabetes is complicated by their clinical, cognitive, and functional heterogeneity and their varied prior experience with disease management. Some older individuals may have developed diabetes years earlier and have significant complications, others are newly diagnosed and may have had years of undiagnosed diabetes with resultant complications, and still, other older adults may have truly recent-onset disease with few or no complications (51). Some older adults with diabetes have other underlying chronic conditions, substantial diabetes-related comorbidity, limited cognitive or physical functioning, or frailty (52,53). Other older individuals with diabetes have little comorbidity and are active.
Life expectancy is affected by the age of the individual, disease burden, and degree of disability. Multiple prognostic tools for life expectancy for older adults are available (54,55). Notably, the Life Expectancy Estimator for Older Adults with Diabetes (LEAD) tool was developed and validated among older adults with diabetes, and a high risk score was strongly associated with having a life expectancy of <5 years (56). These data may be a useful starting point to inform decisions about selecting less stringent glycemic goals (56,57). Older adults also vary in their preferences for the intensity and mode of glucose management (58). Health care professionals caring for older adults with diabetes must take this heterogeneity into consideration when setting and prioritizing treatment goals (10,11) (Table 13.1). In addition, older adults with diabetes should be assessed for disease treatment and self-management knowledge, health literacy, and mathematical literacy (numeracy) at the onset and throughout treatment. See Fig. 6.2 for individual/disease-related factors to consider when determining individualized glycemic goals.
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