Kristin K Clemens1,2,3,4,5, Niamh O'Regan6,7,8, Jinnie J Rhee9. 1. Department of Medicine, Division of Endocrinology, Western University, London, Ontario, Canada. kristin.clemens@sjhc.london.on.ca. 2. Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada. kristin.clemens@sjhc.london.on.ca. 3. St. Joseph's Health Care London, London, Ontario, Canada. kristin.clemens@sjhc.london.on.ca. 4. Institute for Clinical Evaluative Sciences, Ontario, Canada. kristin.clemens@sjhc.london.on.ca. 5. Lawson Health Research Institute, London, Ontario, Canada. kristin.clemens@sjhc.london.on.ca. 6. St. Joseph's Health Care London, London, Ontario, Canada. 7. Lawson Health Research Institute, London, Ontario, Canada. 8. Department of Medicine, Division of Geriatric Medicine, Western University, London, Ontario, Canada. 9. Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Stanford, CA, USA.
Abstract
PURPOSE OF REVIEW: Older adults often live with chronic disease including diabetes and its complications. In this review, we examine the complexity and heterogeneity of older adults with diabetes and chronic kidney disease, explore the nuances in their diabetes-related monitoring, and discuss their best diabetes management. RECENT FINDINGS: Although there remains an overall lack of studies in older adults with diabetes and chronic kidney disease, recent reports have highlighted their vulnerabilities. These individuals face an increased risk of cognitive impairment and dementia, frailty, dysglycemia, polypharmacy, declining kidney function, and acute kidney injury. Their diabetes management should focus upon safer antihyperglycemic medications, close monitoring, and care individualization. Older adults with diabetes and chronic kidney disease are a complex population who requires careful diabetes management and monitoring. Research efforts might focus on improving the care and outcomes of these patients.
PURPOSE OF REVIEW: Older adults often live with chronic disease including diabetes and its complications. In this review, we examine the complexity and heterogeneity of older adults with diabetes and chronic kidney disease, explore the nuances in their diabetes-related monitoring, and discuss their best diabetes management. RECENT FINDINGS: Although there remains an overall lack of studies in older adults with diabetes and chronic kidney disease, recent reports have highlighted their vulnerabilities. These individuals face an increased risk of cognitive impairment and dementia, frailty, dysglycemia, polypharmacy, declining kidney function, and acute kidney injury. Their diabetes management should focus upon safer antihyperglycemic medications, close monitoring, and care individualization. Older adults with diabetes and chronic kidney disease are a complex population who requires careful diabetes management and monitoring. Research efforts might focus on improving the care and outcomes of these patients.
Authors: Jinnie J Rhee; Jialin Han; Maria E Montez-Rath; Sun H Kim; Mark R Cullen; Randall S Stafford; Wolfgang C Winkelmayer; Glenn M Chertow Journal: J Diabetes Complications Date: 2019-09-03 Impact factor: 2.852
Authors: Jennifer E Flythe; Niklas Karlsson; Anna Sundgren; Paul Cordero; Amanda Grandinetti; Henry Cremisi; Anna Rydén Journal: BMC Nephrol Date: 2021-06-23 Impact factor: 2.388