Diabetes: How it affects Older People

Diabetes: How it affects Older People

Diabetes is a common condition in the older population – it affects approximately 20% of the people by the age of 75 years. The metabolism of diabetes in older adults differs from that in young people, and the management of the condition requires a different approach for each group. Here are some ways in which diabetes affects the elderly population.

 

Diabetes: Mental Health

Depression is more frequent in individuals with long-term conditions like diabetes. However, depression may go undiagnosed in senior persons with complex health conditions. Diabetes-related complications and the adverse effects of medication can lead to or aggravate depression. If untreated, depression may lead to challenges with self-care and healthier lifestyle decisions. Depression may also elevate the risk of dementia and mortality in individuals with diabetes. Early identification of mental health issues can help avert their long-term impact and help the patient successfully manage diabetes porno français.

 

Unique Nutrition Concerns

Nutrition is a vital aspect of diabetes management for all ages. Older adults, however, have extra nutritional considerations. While the body’s energy demands decline with age, micronutrient needs remain relatively constant throughout adulthood. Senior people find it challenging to satisfy micronutrient needs while adhering to a low-calorie diet. Consequently, they are prone to deficiencies. Anorexia, swallowing difficulties, altered taste and smell, functional impairments, and oral/dental issues in older adults can lead to undernutrition.

 

Diagnosis and Clinical Presentation

Diabetes: Diagnosis and Clinical Presentation

About 50% of older persons with diabetes do not know they have the condition – they may not present with the apparent symptoms. The symptoms (like lethargy, tiredness, and general) that show are often nonspecific, causing late diagnosis. Common symptoms include dehydration, dry eyes, dry mouth, incontinence, confusion, and diabetes-related complications like neuropathy. Diabetes diagnosis in elderly persons often occurs in hospitalized patients with  complications like stroke or myocardial infarction.

 

Functional Impairment

Diabetes and aging are risk factors for functional impairment. However, those living with the condition are less physically active. Consequently, they are more prone to functional impairment than are people without diabetes. The causes of functional impairment in diabetic patients are the interaction between comorbid conditions, vision and hearing difficulty, peripheral neuropathy, and gait and balance problems. Patients with peripheral neuropathy are more prone to postural instability, muscle atrophy, and balance problems, limiting physical activity and elevating the risk of falls.

 

Barriers to Care

Barriers to Care

Aside from age-related physical challenges, senior diabetes patients may also face challenges like isolation and financial difficulties that adversely affect their care. They may forget (with no one to remind them) to take their meals or drugs. Economic challenges may render them unable to afford quality food and medication. Some may opt to skip medicine doses to extend a prescription. Other factors that may hamper self-care in adults include changes in taste (sometimes caused by medication) and loss of interest and ability to shop for healthy food and make meals at home. Dental issues can also limit the food choices for these patients.

 

Vision and Hearing Impairments

Increases the risk of sensory impairments in older adults. About a fifth of elderly diabetic patients reports visual impairment. Hearing impairment affects twice as many people with this ill. Sensory impairments tend to occur due to vascular disease as well as neuropathy.

 

Comorbidities 

Persistent pain associated with neuropathy or other conditions and inadequate pain management in senior adults can lead to other conditions. For example, functional impairment, depression, anxiety, falls, slow rehabilitation, and sleep and appetite disturbances. Urinary incontinence sometimes occurs in elderly patients, particularly women managing diabetes. Pain can also lead to a higher cost of healthcare and utilization. 

 

 

 

 

5 Tips to Prevent Fractures After 50

Prevent Fractures

As the human body ages, the bones tend to lose density – osteoporosis. The condition can lead to painful fractures, deformities and disability. The good news is that protecting your bone health is very easy. You can prevent Fractures After, delay or reduce bone density loss through healthy living. Here are some tips.

 

Consume Foods Rich in Calcium

Calcium is a vital nutrient for maintaining healthy and strong bones. Unfortunately, most people fail to get enough calcium from their diets. As you age, your body does not absorb calcium efficiently. The recommended dose for adults between 19 and 50 years and men aged 51 to 71 is 1000 mg of calcium per day porno. The recommendation rises to 1200 mg per day for women aged 51 and older and for men of age 71 and older. Good dietary sources of calcium include milk and dairy products, kale, broccoli, almonds, sardines, canned tuna and soy foods like tofu. If you find it a challenge to get sufficient calcium from your diet, you can consult your healthcare provider about calcium supplements.

 

Vitamin D is Critical

Vitamin D is Critical Prevent Fractures

Your body requires vitamin D to absorb calcium. Remember, your body does not easily absorb calcium without vitamin D, and its deficiency can lead to loss of bone mass. Moderate exposure to the sun allows your skin to make vitamin D for the body. However, the ability of the skin to produce vitamin D diminishes with age. Furthermore, the sun is not strong enough during the winter months. Good dietary sources of vitamin D include fatty fish like tuna, catfish, sardines, mackerel, sardines, trout, and salmon. Some food products like milk, rice milk, yogurt, some types of soy, juice, cheese and nutrition bars are fortified with vitamin D. You can also consult your physician for advice and recommendation on vitamin supplements.

 

Avoid Smoking and Limit Alcohol

Smoking elevates the rate of bone loss, and those who smoke are more prone to fractures than non-smokers. Females who smoke tend to experience menopause earlier than non-smokers do. This implies fast bone loss occurs at an earlier age. While alcohol consumption will hardly affect your bones’ health, chronic heavy drinking can cause poor calcium absorption in the body. This can lead to a reduction in bone density and weaker bones that are prone to fractures. Young women who drink heavily during their teens and twenties are more susceptible to bone density loss.

 

Include Exercises in Your Routine

Include Exercises in Your Routine

Bones grow stronger with increased physical activity. Participate in weight-bearing activities like walking, climbing stairs, dancing, hiking and more and resistance exercises like weightlifting. These exercises will help strengthen your muscles and retard bone loss. Endurance exercises and exercises that help enhance posture and coordination (like yoga, flexibility exercises and tai chi) will help reduce the risk of falls and consequently prevent fractures.

 

Prevent Falls

Preventing falls is essential to avoid bone fractures as you age. Most fractures happen due to preventable falls. Some measures that can help avert falls include participating in exercise programs that focus on your abilities and wearing comfortable shoes that provide good support. Beware of uneven grounds, floors and sidewalks and do not rush to respond to a doorbell, catch a bus or answer a phone. Furthermore, get rid of clutter to free walking ways, secure or remove scatter rugs and do not walk in the dark; always use nightlights at night.