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2014-10-15
AUTHORSBarbara Stetson , Holly M. Knight , Sri Prakash L. Mokshagundam
ABSTRACTDiabetes Mellitus is a global public health epidemic. In developing countries, the majority of people with diabetes are 45–64 years of age, while in developed countries the majority are over age 65. The aging population continues to contribute to the prevalence and resultant burden of functional impairment, intensive care and mortality. Diabetes interventions aim to prevent or delay long-term complications of elevated blood glucose and associated metabolic abnormalities and improve quality of life. Metabolic syndrome, a cluster of abnormalities including hypertension, dyslipidemia, abdominal obesity and abnormal blood glucose levels, affects over 40 % of adults over age 70. Hypoglycemia is a limiting factor is diabetes management and older adults may have increased risks due to poor nutritional status, cognitive dysfunction, poly-pharmacy and comorbid health conditions. Common comorbidities accompanying diabetes may include retinopathy, cardiovascular disease, peripheral vascular disease and congestive heart failure, which may result in decreased usual activity and limitations in activities of daily living such as shopping for food and ability to read labels and menus. Rates of depression are elevated in the diabetes population, making careful assessment of depressive symptomology, consideration of impact on dietary intake, diabetes self-care and health outcomes and provision of support critical. More... »
PAGES179-202
Handbook of Clinical Nutrition and Aging
ISBN
978-1-4939-1928-4
978-1-4939-1929-1
http://scigraph.springernature.com/pub.10.1007/978-1-4939-1929-1_11
DOIhttp://dx.doi.org/10.1007/978-1-4939-1929-1_11
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