The principal goals of therapy for older patients who have poor glycemic control are:
A. Enhancing the quality of life.
B. Decreasing the chance of complications.
C. Improving self-care through education.
D. All of the above.
Correct Answer: D. All of the above.
Older adults with diabetes are at substantial risk for both acute and chronic microvascular and cardiovascular complications of the disease. More than 25% of the U.S. population aged ?65 years has diabetes, and the aging of the overall population is a significant driver of the diabetes epidemic.
Option A: One of the principal goals of therapy for older persons with diabetes mellitus and poor glycemic control is enhancing the quality of life due to the decline in physical performance and an increased risk of poor health outcomes due to physiologic vulnerability to clinical, functional, or psychosocial stressors.
Option B: Decreasing the chance of complications is another goal of therapy for older persons with diabetes because diabetes complications can lead to serious illness and even death, which is why prevention is so important.
Option C: As with all patients with diabetes, diabetes self-management education and ongoing diabetes self-management support are vital components of diabetes care for older adults and their caregivers. Through good self-management, people with diabetes can better their quality of life and diminish the risk of developing complications. It can also help lower the number of hospital admissions, or make those times when they do need to go into hospital, for whatever reason, a better experience, with a reduced length of stay.
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