Older diabetics – multi-morbidity, problem of therapy, functional abilities and limitations
| Autoři | |
|---|---|
| Rok publikování | 2018 |
| Druh | Článek ve sborníku |
| Konference | Abstractbook - IFA 14th Global Conference on Ageing,, Toronto, Canada |
| Citace | |
| Klíčová slova | Old age - diabetes type 2 – multi-morbidity - therapy - functional abilities - limitations |
| Popis | Introduction: The elderly are extremely heterogeneous group of people. Health status in old age is a consequence of many factors, including chronic diseases of ageing and many other prevalent reasons that cannot be defined as classic „diseases“ because they do not rise from a single pathologic cause. For the quality of the senior‘s life and keeping their self-sufficiency, presence of the disease itself (or more diseases) is not the cornerstone, it is just keeping their self-sufficiency. The clinical picture of the disease in multi-morbid elderly persons is often represented by non-specific and universal symptoms (stereotypical neurological and psychiatric signs). The aim of geriatric medicine is to optimize residual functions despite the decline in total functional capacity with increasing multi-morbidity and used polypharmacy. Aim of the study: The retrospective study of dates was aimed at conducting an analysis of multi-morbidity, number of used drugs, obesity, late complications, self-sufficiency and social status in older diabetics. File specification: During the year 2016 the authors treated 1,572 diabetic out-patients altogether, aged ? 65 y. Out of this number of the diabetics there were 743 men and 829 women of an average age (74.5 ±7 y.). All the patients had been long-term treated in the outpatient dept. for diabetes (DIASTOP). They had been non-selectively enrolled from the catchment area of Brno city where 25,000 inhabitants live. Results: Subgroup of “young old” (65-74y.) included 843 persons (44.5%); 623 out of them were multi-morbid (74%). Subgroup of “old old” (75-84y.) 516 persons (32.8%); 420 of them were multi-morbid (81.4%). The third subgroup included people “oldest old” (? 85y.) 213 seniors (13.5%); 173 of them were multi-morbid (81.2%). |