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Diabetes und kardiovaskuläre Erkrankungen im Alter

Diabetes and cardiovascular diseases in old age

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Zusammenfassung

Die Behandlung kardiovaskulärer Erkrankungen bei Menschen mit Diabetes mellitus bedarf insbesondere im hohen Lebensalter einer individuellen Nutzen-Risiko-Analyse. Eine Übertherapie der Hyperglykämie im Sinne einer zu strengen Stoffwechseleinstellung (HbA1c-Wert <6%) kann zu einer erhöhten Mortalität führen. In der Regel sollte der angestrebte HbA1c-Wert bei geriatrischen Patienten mit Diabetes mellitus zwischen 7 und 8% liegen.

Abstract

The treatment of cardiovascular diseases in diabetic geriatric patients needs an individual risk–benefit analysis. The overtreatment of hyperglycemia in the sense of metabolic control that is too tight (HbA1c level <6%) may lead to increased mortality. As a rule, the target HbA1c level in geriatric patients with diabetes mellitus should be between 7 and 8%.

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Interessenkonflikt

Die korrespondierende Autorin erklärt, dass kein Interessenkonflikt besteht. PB und AB sind Stipendiaten des Forschungskollegs Geriatrie der Robert-Bosch-Stiftung Stuttgart.

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Authors and Affiliations

  1. AGAPLESION Bethanien-Krankenhaus , Geriatrisches Zentrum am Klinikum der Universität Heidelberg, Rohrbacher Str. 149, 69126, Heidelberg, Deutschland

    A. Bahrmann & P. Oster

  2. Medizinische Klinik 2, Klinikum Nürnberg, Friedrich-Alexander-Universität Erlangen , Nürnberg, Deutschland

    P. Bahrmann

  3. AGAPLESION Bethesda-Krankenhaus Stuttgart, Stuttgart, Deutschland

    A. Zeyfang

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  1. A. Bahrmann
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  2. P. Bahrmann
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  3. A. Zeyfang
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  4. P. Oster
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Correspondence to A. Bahrmann.

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Bahrmann, A., Bahrmann, P., Zeyfang, A. et al. Diabetes und kardiovaskuläre Erkrankungen im Alter. Z Gerontol Geriat 44, 172–176 (2011). https://doi.org/10.1007/s00391-011-0216-z

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  • DOI: https://doi.org/10.1007/s00391-011-0216-z

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