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Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2010, Number 4

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Rev Invest Clin 2010; 62 (4)

Diabetes and changes in functional status of the elderly: a reality?

Tessier D, Ávila-Funes JA, Aguilar-Navarro S

Language: Spanish
References: 13
Page: 318-322
PDF size: 109.92 Kb.


ABSTRACT

Diabetes mellitus (DM) is a common disease in the elderly population. The concept of autonomy is linked to a balance between the impairments observed in the daily activities and the availability of resources to compensate these incapacities. In the evolution of the DM, micro and macro vascular complications are commonly observed. The burden of these complications is usually proportional to the duration of the disease and the quality of glycaemic control. Visual alteration and progressive kidney failure requiring haemodialysis have significant impact on the functional status on the elderly diabetic patient living at home. Alterations of cardiac function and peripheral vascular disease which can ultimately lead to lower limb amputation also result in a dramatic alteration in the capacity of elderly patient to carry routine activities of daily living. The presence of DM seems to be a risk factor for cognitive decline and dementia. This article will review the usual complications of DM and link these complications to functional changes in the elderly population.


REFERENCES

  1. Hebert R. Perte d’autonomie. In: Arcand M, Hebert R (Eds.). Précis pratique de gériatrie. Saint-Hyacinthe and Paris: Edisem/ Maloine; 1997, p. 110-20.

  2. Sinclair AJ, Conroy SP, Bayer AJ. Impact of diabetes on physical function in older people. Diab Car 2008; 31: 233-5.

  3. Idil A, Caliskan D, Ocaktan E. The prevalence of blindness and low vision in older onset diabetes mellitus and associated factors: a community-based study. Eur J Ophthalmol 2004; 14: 298-305.

  4. National Society to prevent blindness. Vision problems in the United States: facts and figure. 1980. Ref Type: Catalog.

  5. Edwards MS, Wilson DB, Craven TE, et al. Associations between retinal microvascular abnormalities and declining renal function in the elderly population: the Cardiovascular Health Study. Am J Kidney Dis 2005; 46: 214-24.

  6. Speckman RA, Frankenfield DL, Roman SH, et al. Diabetes is the strongest risk factor for lower-extremity amputation in new hemodialysis patients. Diab Car 2004; 27: 2198-203.

  7. Valiquette L, McCormack M. Incontinence urinaire. In: Arcand M, Hebert R (Eds.). Précis pratique de gériatrique. 3e Ed. Quebec: Maloine; 2007, p. 269-84.

  8. American Diabetes Association. Peripheral arterial disease in people with diabetes. Diab Car 2003; 26: 3333-41.

  9. Kuusisto J, Mykkanen L, Pyorala K, Laakso M. NIDDM and its metabolic control predict coronary heart disease in elderly subjects. Diab 1994; 43: 960-7.

  10. Luchsinger JA, Tang MX, Stern Y, et al. Diabetes mellitus and risk of Alzheimer’s disease and dementia with stroke in a multiethnic cohort. Am J Epidemiol 2001; 154: 635-41.

  11. Hommet C, Mondon K, Patit A. Diabète et cognition chez le sujet âgé. Ann Gérontol 2009; 2: 99-108.

  12. Biessels GJ, Staekenborg S, Brunner E, et al. Risk of dementia in diabetes mellitus: a systematic review. Lancet Neurol 2006; 5: 64-74.

  13. Holman RR, Paul SK, Bethel MA, et al. 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med 2008; 359: 1577-89.




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