Current Diabetes Reports

, 14:464 | Cite as

Diabetes in Long-Term Care Facilities

  • Aaditya Singhal
  • Alissa R. Segal
  • Medha N. Munshi
Hospital Management of Diabetes (G Umpierrez, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Hospital Management of Diabetes


With the aging of the population and longer life expectancies, the prevalence of population with multiple chronic medical conditions has increased. Difficulty managing these conditions as people age (because of changes in physical, functional, or cognitive abilities and the complexity of many treatment regimens), has led to more individuals with multiple medical conditions admitted to the long-term care facilities. Older adults with diabetes residing in the long-term facilities represent the most vulnerable of this cohort. Studies that specifically target diabetes management in older population are lacking and those that target diabetes management in the long-term care facilities are even fewer. The lack of knowledge regarding the care of the elderly residing in long-term care with diabetes may lead to treatment failure and higher risk of hyperglycemia, as well as hypoglycemia. In aging populations, hypoglycemia has the potential for catastrophic consequences. To avoid this, the management of older population with diabetes and other medical comorbidities residing in long-term care facilities requires a more holistic approach compared with focusing on individual chronic disease goal achievement.


Older adults Long-term care Diabetes mellitus 


Compliance with Ethics Guidelines

Conflict of Interest

Aaditya Singhal declares that she has no conflict of interest. Alissa R. Segal declares that she has no conflict of interest. Medha N. Munshi has received a research grant from Sanofi.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Aaditya Singhal
    • 1
  • Alissa R. Segal
    • 2
    • 3
  • Medha N. Munshi
    • 4
    • 2
  1. 1.Beth Israel Deaconess Medical CenterBostonUSA
  2. 2.Joslin Diabetes CenterBostonUSA
  3. 3.MCPHS UniversityBostonUSA
  4. 4.Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonUSA

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