Resumen

YANES QUESADA, Marelys et al. Diabetes mellitus present in elderly, a common problem. Rev Cubana Med Gen Integr [online]. 2009, vol.25, n.2. ISSN 0864-2125.

Presence of diabetes mellitus in elderlies is a common health problem in primary care. Thus, the aim of present paper is to review some significant elements of this matter. This entity is habitually present in these patients in a olisymptomatic way of in a atypical form, and therapeutic objectives depend on functional status of patient. With regard to non-pharmacological treatment, the education, diet, and physical exercise are the main basis; and regarding the pharmacological therapeutics, sulfonylurea of lengthy action and very potent must to be avoided. Biguanides may be used to improve insulin-sensitivity, and a-glycosidase inhibitors are the choice drugs when there is a predominance of postprandial hyperglycemia. The thiazolidinediones must to be used with precaution in patients presenting with cardiovascular risk, and the use of insulin is prescribed in special circumstances. Always, we must to bear in mind the comorbid disease treatment so that elderly with diabetes mellitus has a complete treatment.

Palabras clave : Diabetes mellitus; elderly.

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