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Adequate management for various problems of geriatric syndrome in elder diabetic patients


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Abstract

Diabetes in elderly patients has frequent occurrence of geriatric syndrome. It includes a variety of problems among which the following can be cited, dementia, flaity, sarcopenia, impaired ADL / QOL, falls, malnutrition, depression, urinary incontinence, multiple medications, and so on. Risk ratio of total dementia is 1.51. Elderly patients with diabetes have sarcopenia 2-3 times more frequently than that of non-diabetic patients. In elderly patients with diabetes, sarcopenia obesity, low carbohydrate diet (LCD) can become an option for adequate nutritional treatment. American College of Physicians (ACP) presented a Guidance Statement Update in 2018, associated with the recommendation of weaker strict control. ACP guidance was summarized by evaluating four mega diabetic studies, including ACCORD, ADVANCE, UKPDS33/34 and VADT. When managing elderly patients with diabetes, comprehensive evaluation of various factors would be important for the happiness of the patient.

Keywords

geriatric syndrome, sarcopenia, dementia, low carbohydrate diet, japan low carbohydrate diet promotion association

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