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From Research to Practice

Challenges and Strategies for Managing Diabetes in the Elderly in Long-Term Care Settings

  1. Naushira Pandya1,
  2. Elizabeth Hames2 and
  3. Sukhman Sandhu3
  1. 1Department of Geriatrics, Nova Southeastern University, Fort Lauderdale, FL
  2. 2Kiran Patel College of Osteopathic Medicine, Fort Lauderdale, FL
  3. 3Aventura Hospital and Medical Center, Aventura, FL
  1. Corresponding author: Naushira Pandya, pandya{at}nova.edu
Diabetes Spectrum 2020 Aug; 33(3): 236-245. https://doi.org/10.2337/ds20-0018
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Abstract

Diabetes affects a large number of patients in the long-term care (LTC) setting, and their care is often complicated because of multimorbidity, diabetes-related complications, disability, dependency on caregivers, and geriatric syndromes, including frailty and cognitive impairment. This population includes patients receiving short-term rehabilitation in skilled nursing facilities, those who are residents in LTC facilities, and those receiving palliative or end-of-life care. An individualized approach to care based on clinical complexity, diabetes trajectory, and patients’ preferences and goals is required. Such patients may experience one or more transitions of care and decline in condition. They are also prone to adverse drug events, cardiovascular events, and hypoglycemia. Facility-related challenges include varying staff competencies and practitioner preferences, inconsistent interdisciplinary communication, overly complex medication regimens, and poorly implemented care transitions.

  • © 2020 by the American Diabetes Association
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Diabetes Spectrum: 33 (3)

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August 2020, 33(3)
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Challenges and Strategies for Managing Diabetes in the Elderly in Long-Term Care Settings
Naushira Pandya, Elizabeth Hames, Sukhman Sandhu
Diabetes Spectrum Aug 2020, 33 (3) 236-245; DOI: 10.2337/ds20-0018

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Challenges and Strategies for Managing Diabetes in the Elderly in Long-Term Care Settings
Naushira Pandya, Elizabeth Hames, Sukhman Sandhu
Diabetes Spectrum Aug 2020, 33 (3) 236-245; DOI: 10.2337/ds20-0018
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    • Abstract
    • Challenges of Caring for Patients With Diabetes in LTC Settings
    • Strategies to Improve Diabetes Management in LTC Settings
    • Improving Transitions of Care
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  • Management of Diabetes Across the Life Spectrum
  • About Medha N. Munshi, MD: Guest Editor, Management of Diabetes Across the Life Spectrum
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© 2021 by the American Diabetes Association. Diabetes Spectrum Print ISSN: 1040-9165, Online ISSN: 1944-7353.