What is diabetes?
Diabetes is a disease characterized by alterations in the levels of blood sugar due to an inability of the body to process lainsulina. So says the American Diabetes Association. It is the third leading cause of death among people aged between 65 and 74 years. According to Dr. Francisco Navarro in his doctoral thesis on insulin dependent diabetes mellitus in the elderly, diabetes is the most common endocrine-metabolic syndrome in geriatrics pose a serious health problem in the elderly, because of its high prevalence and greater impact on the personal, social and family life than in youth.
Considering that life expectancy going around constantly rising, it should consider all measures to be alive with a good performance status.
Diabetes of the elderly and senile diabetes
Speaking of the disease in older people is important to clarify that there are two names depending on the situation:
1. The diabetes of the elderly is one that was previously known to the patient, possibly from their youth or adulthood. This is called Type 1 Diabetes
2. The senile diabetes is what appears after age 65. Called Type 2 diabetes.
The numbers of diabetics in the world increases every day
“In the United States there are over 12.2 million people aged 60 and older who have been diagnosed with diabetes and the number of cases is increasing every year.” This was reported Sara Aguilar and José Ávila in his study of diabetes and time, published in the Journal of Clinical Investigation. Alarmingly, forty percent (40%) of people with diabetes do not know they have this syndrome.
The prevalence of diabetes increases with age (up to age 75 increases and begins to decline after 80) and it is estimated that by 2030 reaches forty percent (40%). But most who have diabetes do not require insulin.
Causes of diabetes
It is considered that there is a high probability that the rise in diabetes cases was due to changes in lifestyle, especially eating habits associated with this disease because obesity in the case of the elderly. In Mexico, a study found that 31% of diabetic patients had overweight.
Other factors include decreased insulin secretion with the age, increased insulin resistance, aging, drug intake and lack of exercise.
If you or a family member has these symptoms, contact your doctor immediately:
1. Frequent urinary urgency.
Two. It is thirsty all day.
April. Weight loss.
6. Suffering from infections. (Even if they are in gum, bladder and skin)
7. Blurred vision.
8. Wounds and bruises that are slow to heal.
We must pay close attention because sometimes older people have different ways of expressing our discomfort. Apart from the symptoms mentioned above, we must be careful with depression, inappetence or voracious intake and irritability.
Many people have no symptoms. That is relevant annual review.
Diagnosis of diabetes in older adults
The evaluation criteria used for the elderly are the same as for the rest of the population. It is an evaluation by the bioanalyst a blood sample taken in the laboratory and an oral glucose tolerance. In extreme cases detected for hypoglycemia (low blood sugar levels) for deep dehydration.
However, Dr. Maria G. Sanzana, in a study published on the treatment of diabetes in the elderly, explains that there are different profile of glucose greater: The glucose tolerance should be fasting as these levels increase with age when they have food ingested before clinical studies.
Complications of diabetes
Diabetes can lead to other problems such as functional and cognitive impairment, depression, diabetic foot, kidney affections, neuropathies, decreased vision, stroke, heart disease, erectile dysfunction and shoulder periarthritis.
How to manage diabetes?
Older people are a heterogeneous group for the treatment of diabetes, so his speech is individualized. The diabetes management is everyone’s business, as the doctor should be involved, the elderly and their families. In a publication entitled “Nutrition and diabetes in the elderly,” advised the information to the patient as a starting point. You know what diabetes and the resources available for treatment is, the same poses for his caretaker.
Second order of importance, the eating habits should change. Some doctors say that if you do a complete reversal of obesity, could be eliminated type 2 diabetes. It is essential a personalized diet.
It is also the necessary physical activity. Which is curious comment because this is not only fit for suffering from diabetes but for every human being. Exercise mobilizes fats accumulate in the blood, stimulates circulation and enhances insulin effect.
Last but not least, the medication based insulin and oral agents, depending on the case. Also, you should make a glycemic control regularly.
At the American Diabetes Association there is a free program that takes the patient’s hand with diabetes, to learn to live with this condition. I guess if you are not in the United States do not know receive text messages, but your email can receive information, healthy recipes and online support opportunities.