Journal article
Pharmacological management of glycemic control in the geriatric patient with type 2 diabetes mellitus
The Consultant pharmacist, Vol.24(1), pp.45-63
01/2009
Handle:
https://hdl.handle.net/2376/100735
PMID: 19275459
Abstract
Discuss geriatric considerations in the treatment of diabetes mellitus and review the advantages and disadvantages of the various pharmacologic agents, including oral medications and insulin, currently available for the treatment of type 2 diabetes mellitus (T2DM).
Literature identified within MEDLINE and PubMED, with an emphasis on material published since 2000, were reviewed.
Overall, 67 primary study manuscripts, clinical reviews, and dosing guidelines were identified and reviewed based on their clinical relevance to the geriatric population.
Literature searches were performed for studies and reviews that included information on the use of antidiabetic medications in the geriatric population. Information was gathered from the available literature base for each medication class included in the review.
The literature identified provided guidelines and considerations for the treatment of the older patient with diabetes mellitus to optimize patient outcomes while minimizing the risk for adverse events. This review provides a systematic outline of these considerations and suggests treatment pearls.
The approach to managing T2DM in the elderly should be conservative and methodical in nature, with careful consideration of side effects, drug-disease and drug-drug interactions, and the risk of inducing hypoglycemia in this at-risk population.
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Details
- Title
- Pharmacological management of glycemic control in the geriatric patient with type 2 diabetes mellitus
- Creators
- Joshua J Neumiller - Department of Pharmacotherapy, College of Pharmacy, Washington State University/Elderly Services, Spokane, Washington 99217-6131, USA. jneumiller@wsu.eduStephen M SetterBrian J GatesTravis E SonnettErin K DobbinsKeith Campbell
- Publication Details
- The Consultant pharmacist, Vol.24(1), pp.45-63
- Academic Unit
- Pharmacotherapy, Department of
- Publisher
- United States
- Identifiers
- 99900546677101842
- Language
- English
- Resource Type
- Journal article