The Unique Challenges of Successful Diabetes Management in Older Adults
Diabetes remains a complex health condition for the older adult. The prevalence of diabetes in this population continues to grow and is associated with functional disability, cognitive impairment, falls, malnutrition, and polypharmacy. Management of the older adult with diabetes requires individualized and goal-driven care based on health risks and glycemic control. Ongoing risk assessment for malnutrition, cognitive and functional changes, and causes for variation in glucose control are essential in this population. Older adults are at high risk for hypoglycemia that may be avoided by adjusting glycemic targets and selecting appropriate medications and nutritional interventions. The number of medications to treat diabetes has increased and so has the complexity of diabetes management. This presentation will aim to discuss components of a comprehensive nutritional and pharmacological assessment for appropriate and individualized interventions in the older adult with diabetes.
Planned with the Diabetes Dietetic Practice Group
- Define the demographics of older Americans living with diabetes.
- Describe appropriate nutritional and pharmacotherapy regimens for older adults with diabetes.
- Identify metabolic goals for older adults based on a nutrition-focused physical assessment, cognitive function, functional status, and comorbidities.
- 10.1.1 Identifies and selects valid and reliable
screening tool(s) to obtain and verify relevant data
in support of nutrition assessment
- 10.4.2 Applies knowledge of pharmacotherapy and
its effect on nutrient absorption, utilization and
metabolism when developing and/or revising the
plan of care.
- 10.2.4 Integrates foundational dietetics knowledge
with critical appraisal of assessment data to
diagnose nutrition problems (using problem
solving, etiology, signs and symptoms [PES]
statements), which can be resolved or improved
through treatment or nutrition intervention.
Paula Leibovitz, MS, RDN, CDN, CDE
PKL Consulting, Diabetes Dietetic Practice Group
Patricia Davidson, DCN, RDN, CDCES, LDN, FAND
West Chester University
Michael Barros, PharmD, BCPS, BCACP, BC-ADM, CDCES
Clinical Associate Professor of Pharmacy Practice