Title |
Comparative Effectiveness for Glycemic Control in Older Adults with Diabetes
|
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Published in |
Current Geriatrics Reports, July 2017
|
DOI | 10.1007/s13670-017-0215-z |
Pubmed ID | |
Authors |
Michael Quartuccio, Brian Buta, Rita Rastogi Kalyani |
Abstract |
To review and summarize the current data for comparative effectiveness of glycemic control in older adults. In the last several years, professional societies have released guidelines for glycemic control in older adults, generally recommending individualized HbA1c goals. However, recent observational studies demonstrate that many older adults remain aggressively managed and are at increased risk of hypoglycemia. Large randomized trials of older adults with diabetes have failed to show cardiovascular benefit from intensive glycemic control and show only minimal microvascular benefit. Additionally, a few studies suggest that suboptimal glycemic control can increase the risk for geriatric syndromes. Emerging research suggests similar safety and efficacy of glucose-lowering therapies in older versus younger adults. Overall, there is a paucity of data supporting the benefit of intensive glycemic control in older adults. More research is needed in this vulnerable population. |
X Demographics
Geographical breakdown
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Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 50 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 7 | 14% |
Student > Bachelor | 7 | 14% |
Student > Postgraduate | 4 | 8% |
Other | 3 | 6% |
Researcher | 3 | 6% |
Other | 6 | 12% |
Unknown | 20 | 40% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 16 | 32% |
Nursing and Health Professions | 7 | 14% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 4% |
Economics, Econometrics and Finance | 1 | 2% |
Linguistics | 1 | 2% |
Other | 2 | 4% |
Unknown | 21 | 42% |