Coronary heart disease and cardiovascular autonomic neuropathy in the elderly diabetic

Chanudet, X.; Bonnevie, L.; Bauduceau, B.

doi:10.1016/s1262-3636(07)80054-1

Cited by 19 publications

(8 citation statements)

References 59 publications

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“…In our study, CAN prevalence was 23.94 % in the MetS population. Previous studies reported that the spectral and fractal characteristics of HR behavior still undergo alterations upon aging [14,24,25]. Our results provided evidence that CA dysfunction has become a serious public problem in China.…”

Section: Discussionsupporting

confidence: 65%

“…Therefore, most previous studies were conducted to evaluate the CA dysfunction in patients with diabetes only. However, previous studies have also reported that the elderly and patients with PH or MetS were strongly associated with the outcome [2,3,[12][13][14][15]. To our knowledge, little is known of any studies performed on the general Chinese population or special subgroups.…”

Section: Introductionmentioning

confidence: 96%

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Clinical risk model assessment for cardiovascular autonomic dysfunction in the general Chinese population

Zhang

Tang

Zeng

et al. 2015

J Endocrinol Invest

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CA dysfunction prevalence was high in the general Chinese population, and its prevalence was more frequent in individuals with diabetes, and hypertensive, and metabolic syndrome. Clinical risk models with a high value for predicting CA dysfunction were developed. CA dysfunction has become a major public health problem in China that requires strategies aimed at the prevention and treatment of the disease.

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Section: Discussionsupporting

confidence: 65%

Section: Introductionmentioning

confidence: 96%

Clinical risk model assessment for cardiovascular autonomic dysfunction in the general Chinese population

Zhang

Tang

Zeng

et al. 2015

J Endocrinol Invest

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“…La prise en charge d'un angor ou d'un syndrome coronarien aigu est identique à celle des sujets plus jeunes lorsque les personnes âgées sont demeurées vigoureuses. En revanche, chez les patients fragiles ou très malades, une approche purement médicale est privilégiée en raison du risque iatrogène élevé des procédures de cardiologie interventionnelle [13]. L'insuffisance cardiaque qui était un peu sous-estimée jusqu'à ces dernières décennies est particulièrement grave.…”

Section: ) Complications Cardiaquesunclassified

Management of Diabetes in Elderly

Bauduceau

Bordier

2017

IJMS

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RESUMELa prise en charge des patients diabétiques âgés est devenue aujourd'hui un véritable problème de santé publique du fait de l'augmentation du nombre des malades. Dans cette population, les complications du diabète sont plus graves et s'intriquent avec les manifestations plus spécifiquement gérontologiques. L'évaluation gériatrique standardisée est indispensable pour définir la situation de chaque malade selon son degré d'autonomie et de dénutrition, ses fonctions cognitives et son environnement social. Les objectifs thérapeutiques doivent être individualisés en fonction de la présentation clinique du patient. L'insulinothérapie est fréquemment incontournable et nécessite l'éducation du patient ou de son entourage. La prise en charge des patients diabétiques âgés doit éviter un trop grand laxisme chez une personne restée en bonne santé mais aussi un activisme déraisonnable chez les sujets fragiles en raison du risque hypoglycémique. MOTS CLÉS :Diabète, Sujet Agé, Complications, Insuline, Hypoglycémie. ABSTRACTThe management of elderly diabetic patients has become a real public health problem due to the increase in the number of patients. In this population, the complications of diabetes are more serious and are associated with manifestations more specifically gerontological. The standardized geriatric assessment is essential to define the situation of each patient according to his degree of autonomy and undernutrition, his cognitive functions and his social environment. The therapeutic objectives must be individualized according to the clinical status of the patient. Insulin therapy is often unavoidable and requires a good education of the patient or his family. The management of diabetes in elderly patients must also avoid too much laxity in a person who is remained healthy but also an unreasonable activism in the fragile subjects due to the hypoglycemic risk.

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“…Diabetes and advanced age increase the frequency and severity of CHD, particularly in women (39). Diabetes increases the CV risk to the level of non-diabetic subject 10 years older.…”

Section: Coronary Heart Disease (Chd)mentioning

confidence: 99%

Key priorities in managing glucose control in older people with diabetes

Bourdel-Marchasson

Doucet

Bauduceau

et al. 2009

The Journal of nutrition, health and aging

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Older people with diabetes represent a major and increasing proportion of our elderly population and their care requires better organisation. Targets for risk factor control and pathways of care must be adjusted to the subject's general health status. It is thus advisable to screen for frailty. We have carried out a detailed literature review of the studies published on diabetes in older people since 1990. Studies were considered if they included groups or subgroups of diabetic patients > 65 years old. This review discusses the elaboration of general targets for care, the approach to risk factor control, the screening and the specific prevention or management of complications, the integration of geriatric concepts in diabetes care and the specificity of education with respect to frailty status.

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Coronary heart disease and cardiovascular autonomic neuropathy in the elderly diabetic

Cited by 19 publications

References 59 publications

Clinical risk model assessment for cardiovascular autonomic dysfunction in the general Chinese population

Clinical risk model assessment for cardiovascular autonomic dysfunction in the general Chinese population

Management of Diabetes in Elderly

Key priorities in managing glucose control in older people with diabetes

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