As persons develop multimorbidity and functional impairment, management of individual
diseases must be modified to take into account the impact of the person's other conditions
on function, prognosis, life priorities, and goals of care.
1
In this context, the management of diabetes mellitus in older persons with multiple
medical problems, functional impairments, and psychosocial issues, such as nursing
home residents, requires approaches that often differ from standard diabetes care
as practiced in hospitals and community settings and is generally recommended by primary
care physicians and endocrinologists. Until all medical specialties are better “geriatricized,”
differences between traditional care and geriatric-appropriate care will continue
to arise, and it will be the task of persons who focus on geriatric and long-term
care medicine to more appropriately tailor goals, treatment, and monitoring to each
unique patient.
2
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Footnotes
The authors declare no conflicts of interest.
Identification
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© 2021 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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Access this article on ScienceDirectRelated Podcast
September 21, 2021
September 2021 Issue: Individualizing Diabetes Care in Persons with Multimorbidity
Featuring Dr. Philip Sloane, Dr. Mallory Brown, Dr. Naushira Pandya. Recorded: September 23, 2021.
https://mcdn.podbean.com/mf/download/u3ycz5/sept2021final.mp3
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