Diabetes Mellitus: Clinical Aspects
Diabetes mellitus is one of the most important causes of morbidity and mortality in old age. Since impaired carbohydrate tolerance appears to be a normal feature of ageing, there has been a prolonged debate as to whether non-insulin-dependent diabetes in the elderly is an ageing phenomenon or a disease process. Again, many of the atherosclerotic complications of diabetes mellitus closely resemble those of normal ageing, so that the question has been raised as to whether or not the disorder causes an exacerbation of the ageing process (Kent 1976). Far from being of mere academic interest, these issues are of fundamental importance in the diagnosis and management of diabetes mellitus and its complications in the elderly.
KeywordsLactic Acidosis Blood Glucose Concentration Diabetic Autonomic Neuropathy Senile Cataract Renal Papillary Necrosis
Unable to display preview. Download preview PDF.
- Andres R (1971) Effect of age in interpretation of glucose and tolbutamide tolerance tests. In: Fajans SS, Sussman KE (eds) Diabetes mellitus: diagnosis and treatment, vol. 3. American Diabetes Association, pp 115–120Google Scholar
- Biegelman PM (1971) Severe ketoacidosis (Diabetic “coma”): 482 episodes in 257 patients; experience of 3 years. Diabetes 20: 490–500Google Scholar
- Brierley JB (1976) Cerebral hypoxia. In: Blackwood W, Corsellis JAN (eds) Greenfield’s Neuropathology, 3rd edn. Edward Arnold, London, pp 43–85Google Scholar
- Fox RA (1984) Immunology and infection in the elderly. Churchill Livingstone, LondonGoogle Scholar
- Gill GV, Alberti KGMM (1985b) Lactic acidosis. Practical Diabetes 2:15–19Google Scholar
- Hodkinson HM (1977) Biochemical diagnosis of the elderly. Chapman and Hall, LondonGoogle Scholar
- Jarrett RJ (1985) The Whitehall Study. Practical Diabetes 2: 97–100Google Scholar
- Tattersall RB (1984) Diabetes in the elderly - a neglected area. Diabetiologia 27:167–173Google Scholar