Hypoglycemia in the elderly: Watch for atypical symptoms
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F19%3A10410391" target="_blank" >RIV/00064203:_____/19:10410391 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11130/19:10410391
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=eRS6FrmmNv" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=eRS6FrmmNv</a>
DOI - Digital Object Identifier
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Alternative languages
Result language
angličtina
Original language name
Hypoglycemia in the elderly: Watch for atypical symptoms
Original language description
We read with interest the review article by Keber and Fiebert, "Diabetes in the elderly: Matching meds to needs" (J Fam Pract. 2018;67:408-410,412-415). The authors have provided a timely overview of antidiabetes medications for elderly people with type 2 diabetes mellitus (T2DM) and their relative risks for hypoglycemia. We'd like to add to this important conversation. Aging, per se, modifies the glycemic thresholds for autonomic symptoms and cognitive impairment; in older nondiabetic men (mean + SD: age 65 +- 3 years), autonomic symptoms and cognitive dysfunction commence at identical glycemic thresholds (3 +- 0.2 mmol/L [54 +- 4 mg/dL]). By contrast, in younger men (age 23 +- 2 years), a significant gap is observed between the glycemic threshold for symptom generation (3.6 mmol/L [65 mg/dL]) and the onset of cognitive dysfunction (2.6 mmol/L [47 mg/dL]).1,2 The simultaneous occurrence of symptoms and cognitive impairment in older people may adversely affect their ability to recognize and treat hypoglycemia promptly. In addition, hypoglycemia in older T2DM patients often presents with atypical neurologic symptoms, including incoordination and ataxia, slurring of speech, and visual disturbances, which either are not identified as hypoglycemia or are misdiagnosed as other medical disorders (eg, transient ischemic attack).3 Knowledge about hypoglycemia symptoms is poor, in both elderly people with diabetes and their relatives and caregivers, which compromises the ability to identify hypoglycemia and provide effective treatment.4 Education about the possible presentations of hypoglycemia and its effective treatment is essential for older patients and their relatives.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30202 - Endocrinology and metabolism (including diabetes, hormones)
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2019
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Journal of Family Practice
ISSN
0094-3509
e-ISSN
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Volume of the periodical
68
Issue of the periodical within the volume
2
Country of publishing house
US - UNITED STATES
Number of pages
1
Pages from-to
116
UT code for WoS article
000461299600008
EID of the result in the Scopus database
2-s2.0-85063517066