![]() ![]() Older adults with diabetes should be carefully screened and monitored for cognitive impairment ( 2). See Section 4 “Comprehensive Medical Evaluation and Assessment of Comorbidities” ( ), for the full range of issues to consider when caring for older adults with diabetes. These conditions may impact older adults' diabetes self-management abilities and quality of life if left unaddressed ( 2, 6, 7). At the same time, older adults with diabetes are also at greater risk than other older adults for several common geriatric syndromes, such as polypharmacy, cognitive impairment, depression, urinary incontinence, injurious falls, and persistent pain ( 1). Screening for diabetes complications in older adults should be individualized and periodically revisited, as the results of screening tests may impact targets and therapeutic approaches ( 3– 5). Older adults with diabetes have higher rates of premature death, functional disability, accelerated muscle loss, and coexisting illnesses, such as hypertension, coronary heart disease, and stroke, than those without diabetes. Diabetes management in older adults requires regular assessment of medical, psychological, functional, and social domains. Over one-quarter of people over the age of 65 years have diabetes and one-half of older adults have prediabetes ( 1, 2), and the number of older adults living with these conditions is expected to increase rapidly in the coming decades. Diabetes is a highly prevalent health condition in the aging population.
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