Diabetes and the Frail Elderly in Long-term Care


      Diabetes in long-term care is increasing in prevalence. This population of the frail elderly presents unique challenges in terms of barriers to care, pharmacologic management, glycemic control, monitoring and hypoglycemia, but few evidence-based guidelines are available to direct care. This paper reviews the current literature and presents 2 pilot projects that explore these issues.


      La prévalence du diabète augmente dans les établissements de soins prolongés. Dans ces établissements, les personnes âgées sont fragiles et il y a des défis uniques en ce qui a trait aux obstacles aux soins, au traitement pharmacologique, au contrôle de la glycémie, à la surveillance et à l'hypoglycémie, mais peu de lignes directrices factuelles portent sur l'orientation à donner aux soins chez ces personnes. L'article passe en revue la littérature médicale actuelle et présente deux projets pilotes portant sur ces questions.



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