Microvascular

Data from cross-sectional studies indicate that older diabetic patients (middle-age onset) have greater rates of retinopathy and neuropathy than younger diabetics (5), which is likely due to longer duration of disease and greater glycemic exposure. Screening and treatment of these conditions are similar in older and younger patients, but with special considerations such as the potential for adverse effects of drug therapy [e.g., angiotensin converting enzymeinhibitors (ACE-I)] and drug-drug interactions. Elderly patients with compromised renal function should be evaluated for other renal abnormalities, including genitourinary tract obstructions and infections, which may be common in this population. Older patients with diabetes are also at increased risk of vision loss as a result of glaucoma, cataracts and macular degeneration, so regular examination by an ophthalmologist is essential. Routine podiatric care is also important, since impaired vision and mobility and concomitant peripheral vascular disease may combine to increase risk of ulceration and eventual amputation in older patients with neuropathy.

Delicious Diabetic Recipes

Delicious Diabetic Recipes

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