Clinical guidelines for type 1 diabetes mellitus with an emphasis on older adults: an Executive Summary
- 9 September 2019
- journal article
- research article
- Published by Wiley in Diabetic Medicine
- Vol. 37 (1), 53-70
- https://doi.org/10.1111/dme.14135
Abstract
We present a summary of a guideline produced by an international group of experts for managing type 1 diabetes in adults with an emphasis on the special needs of older people with this condition. The rationale for delivering high‐quality diabetes care for adults with type 1 diabetes, why it is important to include older people in our considerations, and the key underpinning principles of the guideline are included. The structure of the recommendations given is described and consists of ‘general’ recommendations followed by ‘specific’ recommendations according to three categories depending on the characteristics of adults addressed, such as functional level or self‐management ability. Recommendations are provided in the areas of: clinical diagnosis, establishing management plans and glucose regulation, diabetes self‐management education, nutritional therapy, physical activity, exercise and lifestyle modification, insulin treatments and regimens, use of technology in diabetes management, hypoglycaemia, managing cardiovascular risk, management of microvascular risk, and inpatient management of type 1 diabetes and ketoacidosis.Keywords
This publication has 148 references indexed in Scilit:
- Hypoglycaemia and accident risk in people with type 2 diabetes mellitus treated with non‐insulin antidiabetes drugsDiabetes, Obesity and Metabolism, 2012
- Disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitusDiabetologia, 2011
- Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170 000 participants in 26 randomised trialsThe Lancet, 2010
- In the absence of renal disease, 20 year mortality risk in type 1 diabetes is comparable to that of the general population: a report from the Pittsburgh Epidemiology of Diabetes Complications StudyDiabetologia, 2010
- Adiposity and mortality in type 1 diabetesInternational Journal of Obesity, 2009
- Prolonged Effect of Intensive Therapy on the Risk of Retinopathy Complications in Patients With Type 1 Diabetes MellitusJAMA Ophthalmology, 2008
- The Wisconsin Epidemiologic Study of Diabetic Retinopathy XXII: The Twenty-Five-Year Progression of Retinopathy in Persons with Type 1 DiabetesOphthalmology, 2008
- Diabetic Neuropathy in Older AdultsClinics in Geriatric Medicine, 2008
- Efficacy of cholesterol-lowering therapy in 18 686 people with diabetes in 14 randomised trials of statins: a meta-analysisThe Lancet, 2008
- Chronic Kidney Disease and the Risks of Death, Cardiovascular Events, and HospitalizationThe New England Journal of Medicine, 2004