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Diabetes in Elderly People: Issues Managing Diabetes As You Age

Updated on March 6, 2015
stephhicks68 profile image

Stephanie Hicks has been a type 1 diabetic for 15 years. She manages the disease with an insulin pump, doctor visits, diet, and exercise.

It Can Be Difficult to Manage Diabetes in the Elderly

As people age and their bodies slowly lose functionality, the risk of developing Type 2 diabetes goes up. Even those seniors who get some exercise and who are not obese may develop symptoms of diabetes if their pancreas slows in production of insulin, or their body simply becomes less sensitive to insulin. As a result, blood sugar levels may rise to unhealthy levels which can cause serious complications and even death in some cases, if not treated.

Managing diabetes in elderly people is not as straightforward as it can be in the younger population. However, in some cases it is even more important. With unhealthy swings in blood glucose levels, whether too high (hyperglycemia) or too low (hypoglycemia), the patient may experience dizziness, rapid heart rate, nausea, weight loss, incontinence, memory loss, depression, confusion and unsteadiness/shakiness. Many seniors are already susceptible to these conditions; when exacerbated by diabetes, they may be more likely to fall, get lost, and become too weak to fight off other illnesses or infection.

Achieving tight blood sugar control is important, but often difficult due to the dangers of hypoglycemia in the elderly. Another factor that comes into play, sadly, is the lack of coordinated care between medical professionals to ensure that every caregiver involved with the patient is aware of their diabetic condition.

Families need to be proactive in ensuring that elderly patients receive appropriate care to ensure that preventable complications from diabetes do not endanger their loved one's life.

Complete caregiving for elderly patients requires screening for and managing diabetes
Complete caregiving for elderly patients requires screening for and managing diabetes | Source

Have You or Your Loved One's Caregivers Been Attentive to Diabetes-Related Issues?

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Statistics on Diabetes in Elderly People

The statistics regarding diabetes in elderly people may be surprising. Consider the following:

  • More than 20% of people over age 60 in the U.S. have diabetes, whether diagnosed or not (that is 1 in 5 persons!)
  • Complications of diabetes are a leading cause of death in the elderly population
  • As people age, the risk of diabetes rises because bodies cannot process sugars as efficiently as in younger years
  • 40% of new diabetes diagnoses in the U.S. each year are in the over 65 year old population
  • Diabetes can be "masked" as signs of just getting older, or as a result of other medical conditions
  • After age 65, a person should regularly take a fasting or postprandial (2 hours after eating) blood glucose test, and/or an A1C blood test if they are diagnosed with diabetes or show symptoms of the disease (e.g., weakness, vision changes, weight loss or gain, increased thirst, confusion and more)
  • Many people do not know that they have diabetes. Check this list of warning signs of diabetes

Diabetes Information for Older Adults

Elderly diabetic patients should test blood sugar regularly
Elderly diabetic patients should test blood sugar regularly | Source

Make Sure Caregivers are Aware of the Patient's Diabetic Condition

My grandfather is 89 years old and was diagnosed with Type 2 diabetes about 8 years ago. He has remained active his entire life and, just two years ago, weighed a healthy 165 pounds at a height of 5 feet 9 inches.

When my grandmother passed away, his self-care started to slip. Although his brain is still sharp and he lives independently, he has fallen several times in the past year.

Last January, Grandpa broke his leg and was in the hospital for several weeks. It was then that the family realized that not all of the caregivers were either aware of his diabetes, or taking the proper steps to manage the disease. What happened next should be a warning to anyone that either has diabetes or a loved one with the condition.

In the hospital, the nurses that were caring for my grandfather seemed to be entirely unaware of his diabetes diagnosis. That may have been because he does not fit the "usual" profile of a diabetic, but nonetheless, we are not sure they checked his chart, although they should have. Not only did they fail to test my grandfather's blood glucose, they allowed him to order anything he wanted off the hospital menu. As a diabetic myself, I was shocked to hear this!

As the days went by, my grandfather continued to lose a significant amount of weight, and his physical therapist wrote in his chart that she believed grandpa was not "trying" at his sessions because he was so weak. Both of these situations show a complete lack of communication between my grandpa's caregivers. This was a classic sign of the "right hand not knowing what the left hand" was doing. As the days went by, my grandfather seemed to be more destined to continue staying in the hospital, rather than improving to the point to be able to go home.

Although I live 300 miles away from most of the rest of my family, I was able to provide some consult regarding the nature of diabetes and treating the disease, since I have had Type 1 diabetes since 2003. My advice may have helped save my grandfather's life.

I should be proud, but instead I am very frustrated that a family member who happened to have diabetes had to step in and make sure that care for my grandfather was adequate.

As you or your loved one age, particularly over 65 years old, make sure that you have a clear understanding regarding your blood sugar levels, whether or not you have diabetes, and keep your medical professional team, as well as your loved ones, informed about your condition.

Controlling Diabetes in Elderly People

As a diabetic, I test my blood sugars 6x a day
As a diabetic, I test my blood sugars 6x a day | Source

Diabetes in Elderly People: The Bottom Line

As a diabetic myself, I know how dangerous it can be if you either do not know you have the disease, or are not properly monitoring and treating it.

The origins of Type 2 and Type 1 diabetes are different, but the treatment and management are largely the same: making sure that the body has sufficient insulin and/or medication to ensure that the insulin and blood sugar work together properly.

In elderly people, the complications of inadequately treated diabetes can be more serious than in those that are younger than 60 years old. Check with your doctor to be sure that your diet, medication and activity levels are within healthy levels.

If you have any questions or suspicions, you should definitely call your doctor for a consultation as soon as possible.

© 2013 Stephanie Hicks

Comments

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    • stephhicks68 profile imageAUTHOR

      Stephanie Hicks 

      4 years ago from Bend, Oregon

      Just 3 months later, the connection between diabetes and healthy blood sugar levels is more than ever clear.

    • stephhicks68 profile imageAUTHOR

      Stephanie Hicks 

      5 years ago from Bend, Oregon

      Thank you - Its important to note that diabetes cannot always be prevented by diet. Type 1 is an autoimmune disease, and Type 2 can present in the elderly simply because their bodies do not function as well as younger people's. Best, Steph

    • DDE profile image

      Devika Primić 

      5 years ago from Dubrovnik, Croatia

      A helpful hub on Diabetes, it is so important to know of such information though it can be prevented with diet.

    • stephhicks68 profile imageAUTHOR

      Stephanie Hicks 

      5 years ago from Bend, Oregon

      Thank you so much, everyone! I hope that by sharing my knowledge and experience regarding diabetes, others will be helped. Wishing you all the best in your health and good health to your loved ones, as well. Cheers, Steph

    • manatita44 profile image

      manatita44 

      5 years ago from london

      Very informative and helpful. Sorry about your grandfather's treatment and happy that you were able to help. My mother had this problem for years. Your granddad is remarkable. You will help others with this hub. Much love.

    • vocalcoach profile image

      Audrey Hunt 

      5 years ago from Idyllwild Ca.

      A super-great hub filled with information for managing diabetes. Enjoyed the videos too. I was recently diagnosed with type 2 but when I asked my doctor what I should do he just replied that I should lose some weight. That makes me think I don't have it very bad. I exercise and eat a vegetarian diet. Voted up and will share!

    • always exploring profile image

      Ruby Jean Richert 

      5 years ago from Southern Illinois

      Great informative hub. My grandmother had type 2 diabetes, so it's in the family. Thank you for sharing.

    • randomcreative profile image

      Rose Clearfield 

      5 years ago from Milwaukee, Wisconsin

      Great topic for an article! I learned so much. Thanks for the excellent resource.

    • stephhicks68 profile imageAUTHOR

      Stephanie Hicks 

      5 years ago from Bend, Oregon

      Thank you so much! Both my grandfathers developed Type 2 diabetes late in life. It is hereditary, but also can be a consequence of aging. Take good care, Roberta!

    • robie2 profile image

      Roberta Kyle 

      5 years ago from Central New Jersey

      Very informative. I had no idea that more than half of new diabetes diagnoses were in people over 65. And you are right, the consequences of not being aware are greater in terms of everything the older you get so it is definitely time to pay attention. Voting this up and useful

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