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This new edition of the popular and market-leading Diabetes in Old Age features up-to-date and comprehensive information about the key aspects of managing older people with diabetes, predominantly type 2 diabetes. With a strong evidence-based focus throughout, the entire range of issues surrounding diabetes and its many complications are covered, each with a clear focus on how they relate directly to the older patient. Varying approaches to optimizing diabetes care in the community, primary care and secondary care health care arenas are presented, and the importance of comprehensive functional assessment is emphasized. Coverage of areas unique to an ageing population of older people with diabetes such as falls management, frailty and sarcopenia, and cognitive dysfunction form a key cornerstone of the book. In every chapter, best practice points and key learning outcomes are provided, as well as published evidence bases for each major conclusion.
Diabetes in Old Age, 4th edition is essential reading for diabetologists and endocrinologists, diabetes specialist nurses, primary care physicians, general physicians and geriatricians, podiatrists and dieticians with an interest in diabetes, as well as all health professionals engaged in the delivery of diabetes care to older people.

Diabetes in Old Age

Preface vii Foreword viii List of contributors xi Section A: Pathophysiology screening and diagnosis1 1 Pathophysiology of diabetes in older people 3 Graydon S. Meneilly 2 Type 1 diabetes in older age 13 Medha Munshi and Alan J. Sinclair 3 Preventative strategies 20 Edward S. Horton 4 Diagnosis and screening 29 Jorge Manzarbeita 5 Assessment procedures including comprehensive geriatric assessment 43 Willy Marcos Valencia Marie Danet and Hermes Florez Section B: Vascular risk factors and complications 55 6 Peripheral arterial disease 57 Leocadio Rodriguez Manas Cristina Alonso Bouzon and Marta Castro Rodriguez 7 Coronary heart disease 67 Ahmed H. Abdelhafiz 8 Chronic kidney disease related to diabetes in older patients 84 Isaac Sinay and Felipe Inserra 9 Visual loss in people with diabetes in old age 106 Peter H. Scanlon 10 Diabetes foot disease 113 Srikanth Bellary 11 Diabetes neuropathy and old age 125 Jennifer Dineen and Christopher Gibbons 12 Sensory disabilities in people with diabetes 137 Rowan Hillson 13 Sexual health and wellbeing 148 Geoffrey I. Hackett 14 eHealth and diabetes: Designing a novel system for remotely monitoring older adults with type 2 diabetes 167 Elena Villalba ]Mora Ignacio Peinado ]Martinez and Francisco del Pozo Section C: Treatment and care issues 177 15 Insulin resistance and the metabolic syndrome 179 Andrew J. Krentz and Angelo Scuteri 16 Diabetes and functional limitation: The emergence of frailty and disability 213 Leocadio Rodriguez Manas and Alan J. Sinclair 17 Metabolic decompensation in older people 225 Giuseppe Paolisso and Michelangela Barbieri 18 Nutrition management 240 Trisha Dunning 19 Physical exercise management 267 Mikel Izquierdo and Eduardo Lusa Cadore 20 Medicines pharmacovigilance and the importance of undertaking comprehensive assessments and regular medicine reviews 277 Trisha Dunning 21 Glucose ]lowering drugs 298 Andrew J. Krentz and Alan J. Sinclair 22 Insulin therapy 323 Ahmed H. Abdelhafiz 23 Hypertension in older diabetic patients 338 N. Jain A. Chikara and A. Goel 24 Hypoglycemia 350 Medha Munshi 25 Diabetes in care homes 360 Trisha Dunning and Alan J. Sinclair 26 Primary and community care of diabetes in older people 376 Mark Kennedy 27 Inpatient diabetes care and admissions avoidance in older people with diabetes 395 Belinda Allan Ketan Dhatariya Esther Walden Carol Jairam and Mike Sampson Section D: Management of associated complications 411 28 Diabetes and co ]morbidities 413 Marta Castro Rodriguez and Leocadio Rodriguez Manas 29 Diabetes and cognitive dysfunction 426 Alan J. Sinclair 30 Mood disorders 437 Ahmed H. Abdelhafiz and Alan J. Sinclair 31 Falls and diabetes 448 Cristina Alonso Bouzon and Medha Munshi 32 Managing pain 456 Trisha Dunning 33 Palliative and end ]of ]life care 470 Trisha Dunning and Alan J. Sinclair Section E: Optimizing diabetes care in older people 489 34 Diabetes education and the older adult 491 Elizabeth A. Beverly Arlene Smaldone and Katie Weinger 35 Supporting the family and informal carers 505 Alan J. Sinclair and Trisha Dunning 36 Public health issues and community impact 516 Luis Miguel Gutierrez Robledo and Roger Gadsby 37 Providing cost ]effective diabetes care 525 Chia ]Hung Chou and Elbert S. Huang 38 Clinical trials in older people 533 Olga Laosa Marta Checa and Laura Pedraza Index 543