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From Research to Practice

Palliative and End-of-Life Care: Vital Aspects of Holistic Diabetes Care of Older People With Diabetes

  1. Trisha Lynette Dunning
  1. Centre for Quality and Patient Safety Research, Barwon Health Partnership, School of Nursing and Midwifery, Deakin University, Geelong, Australia
  1. Corresponding author: Trisha Lynette Dunning, trisha.dunning{at}deakin.edu.au
Diabetes Spectrum 2020 Aug; 33(3): 246-254. https://doi.org/10.2337/ds20-0014
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Abstract

Palliative and end-of-life care and advance care planning are important components of holistic diabetes management, especially for older people with a long duration of diabetes and comorbidities who experience unpleasant symptoms and remediable suffering. Many diabetes clinicians do not have conversations about advance care planning with people with diabetes, often because they are reluctant to discuss these issues and are not familiar with palliative care. This article outlines palliative, terminal, and end-of-life care for older people with type 1 or type 2 diabetes and suggests when to consider changing the focus on tight blood glucose control to a focus on safety and comfort. It proposes strategies to incorporate palliative and end-of-life care into personalized holistic diabetes care, determined with older people with diabetes and their families through shared decision-making.

  • © 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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Palliative and End-of-Life Care: Vital Aspects of Holistic Diabetes Care of Older People With Diabetes
Trisha Lynette Dunning
Diabetes Spectrum Aug 2020, 33 (3) 246-254; DOI: 10.2337/ds20-0014

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Palliative and End-of-Life Care: Vital Aspects of Holistic Diabetes Care of Older People With Diabetes
Trisha Lynette Dunning
Diabetes Spectrum Aug 2020, 33 (3) 246-254; DOI: 10.2337/ds20-0014
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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
  • Challenges and Strategies for Managing Diabetes in the Elderly in Long-Term Care Settings
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© 2021 by the American Diabetes Association. Diabetes Spectrum Print ISSN: 1040-9165, Online ISSN: 1944-7353.