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<p>Preface vii</p> <p>Foreword viii</p> <p>List of contributors xi</p> <p><b>Section A: Pathophysiology screening and diagnosis1</b></p> <p><b>1 Pathophysiology of diabetes in older people 3<br /></b><i>Graydon S. Meneilly</i></p> <p><b>2 Type 1 diabetes in older age 13<br /></b><i>Medha Munshi and Alan J. Sinclair</i></p> <p><b>3 Preventative strategies 20<br /></b><i>Edward S. Horton</i></p> <p><b>4 Diagnosis and screening 29<br /></b><i>Jorge Manzarbeita</i></p> <p><b>5 Assessment procedures including comprehensive geriatric assessment 43<br /></b><i>Willy Marcos Valencia Marie Danet and Hermes Florez</i></p> <p><b>Section B: Vascular risk factors and complications 55</b></p> <p><b>6 Peripheral arterial disease 57<br /></b><i>Leocadio Rodríguez Mañas Cristina Alonso Bouzon and Marta Castro Rodríguez</i></p> <p><b>7 Coronary heart disease 67<br /></b><i>Ahmed H. Abdelhafiz</i></p> <p><b>8 Chronic kidney disease related to diabetes in older patients 84<br /></b><i>Isaac Sinay and Felipe Inserra</i></p> <p><b>9 Visual loss in people with diabetes in old age 106<br /></b><i>Peter H. Scanlon</i></p> <p><b>10 Diabetes foot disease 113<br /></b><i>Srikanth Bellary</i></p> <p><b>11 Diabetes neuropathy and old age 125<br /></b><i>Jennifer Dineen and Christopher Gibbons</i></p> <p><b>12 Sensory disabilities in people with diabetes 137<br /></b><i>Rowan Hillson</i></p> <p><b>13 Sexual health and wellbeing 148<br /></b><i>Geoffrey I. Hackett</i></p> <p><b>14 eHealth and diabetes: Designing a novel system for remotely monitoring older adults with type 2 diabetes 167<br /></b><i>Elena Villalba?]Mora Ignacio Peinado?]Martínez and Francisco del Pozo</i></p> <p><b>Section C: Treatment and care issues 177</b></p> <p><b>15 Insulin resistance and the metabolic syndrome 179<br /></b><i>Andrew J. Krentz and Angelo Scuteri</i></p> <p><b>16 Diabetes and functional limitation: The emergence of frailty and disability 213<br /></b><i>Leocadio Rodriguez Manas and Alan J. Sinclair</i></p> <p><b>17 Metabolic decompensation in older people 225<br /></b><i>Giuseppe Paolisso and Michelangela Barbieri</i></p> <p><b>18 Nutrition management 240<br /></b><i>Trisha Dunning</i></p> <p><b>19 Physical exercise management 267<br /></b><i>Mikel Izquierdo and Eduardo Lusa Cadore</i></p> <p><b>20 Medicines pharmacovigilance and the importance of undertaking comprehensive assessments and regular medicine reviews 277<br /></b><i>Trisha Dunning</i></p> <p><b>21 Glucose?]lowering drugs 298<br /></b><i>Andrew J. Krentz and Alan J. Sinclair</i></p> <p><b>22 Insulin therapy 323<br /></b><i>Ahmed H. Abdelhafiz</i></p> <p><b>23 Hypertension in older diabetic patients 338<br /></b><i>N. Jain A. Chikara and A. Goel</i></p> <p><b>24 Hypoglycemia 350<br /></b><i>Medha Munshi</i></p> <p><b>25 Diabetes in care homes 360<br /></b><i>Trisha Dunning and Alan J. Sinclair</i></p> <p><b>26 Primary and community care of diabetes in older people 376<br /></b><i>Mark Kennedy</i></p> <p><b>27 Inpatient diabetes care and admissions avoidance in older people with diabetes 395<br /></b><i>Belinda Allan Ketan Dhatariya Esther Walden Carol Jairam and Mike Sampson</i></p> <p><b>Section D: Management of associated complications 411</b></p> <p><b>28 Diabetes and co?]morbidities 413 <br /></b><i>Marta Castro Rodríguez and Leocadio Rodríguez Mañas</i></p> <p><b>29 Diabetes and cognitive dysfunction 426<br /></b><i>Alan J. Sinclair</i></p> <p><b>30 Mood disorders 437<br /></b><i>Ahmed H. Abdelhafiz and Alan J. Sinclair</i></p> <p><b>31 Falls and diabetes 448<br /></b><i>Cristina Alonso Bouzón and Medha Munshi</i></p> <p><b>32 Managing pain 456<br /></b><i>Trisha Dunning</i></p> <p><b>33 Palliative and end?]of?]life care 470<br /></b><i>Trisha Dunning and Alan J. Sinclair</i></p> <p><b>Section E: Optimizing diabetes care in older people 489</b></p> <p><b>34 Diabetes education and the older adult 491<br /></b><i>Elizabeth A. Beverly Arlene Smaldone and Katie Weinger</i></p> <p><b>35 Supporting the family and informal carers 505<br /></b><i>Alan J. Sinclair and Trisha Dunning</i></p> <p><b>36 Public health issues and community impact 516<br /></b><i>Luis Miguel Gutiérrez Robledo and Roger Gadsby</i></p> <p><b>37 Providing cost?]effective diabetes care 525<br /></b><i>Chia?]Hung Chou and Elbert S. Huang</i></p> <p><b>38 Clinical trials in older people 533<br /></b><i>Olga Laosa Marta Checa and Laura Pedraza</i></p> <p>Index 543</p>

<p><b> Edited by<br> Alan J. Sinclair,</b> Foundation for Diabetes Research in Older People, Diabetes Frail Ltd and University of Aston, UK <p><b> Trisha Dunning,</b> Centre for Nursing and Allied Health Research, Deakin University and Barwon Health, Geelong, Australia <p><b> Leocadio Rodríguez Mañas,</b> Servicio de Geriatría, Hospital Universitario de Getafe and Universidad Europea de Madrid, Spain <p><b> Medha Munshi,</b> Joslin Geriatric Diabetes Programs, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, USA

<p> This new edition of the popular and market-leading <i>Diabetes in Old Age</i> features up-to-date and comprehensive information about the key aspects of managing older people with diabetes, predominantly type 2 diabetes. <p> With a strong evidence-based focus throughout, the entire range of issues surrounding diabetes and its many complications are covered, each with a clear focus on how they relate directly to the older patient. Varying approaches to optimizing diabetes care in the community, primary care and secondary care healthcare arenas are presented, and the importance of comprehensive functional assessment is emphasized. Coverage of areas unique to an aging population of older people with diabetes, such as falls management, frailty and sarcopenia, and cognitive dysfunction, form a key cornerstone of the book. In every chapter, best practice points and key learning outcomes are provided, as well as published evidence bases for each major conclusion. <p><i> Diabetes in Old Age, 4th edition</i> is essential reading for diabetologists and endocrinologists, diabetes specialist nurses, primary care physicians, general physicians and geriatricians, podiatrists and dieticians with an interest in diabetes, as well as all health professionals engaged in the delivery of diabetes care to older people.

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