Diabetes mellitus (DM) is a common disease in the elderly population. The concept of autonomy is linked to a balance between the impairments observed in activities and the availability of resources to compensate these incapacities. In the evolution of the DM, micro and macrovascular complications are commonly observed. The burden of these complications is usually proportional to the duration of the disease and the quality of glycemic control. Visual alterations and progressive kidney failure requiring hemodialysis have significant impact on the functional status of the elderly diabetic patient living at home. Alterations of cardiac function and peripheral vascular disease which can ultimately lead to lower limb amputation also result in a dramatic alteration in the capacity of elderly patients to carry out the routine activities of daily living. The presence of DM seems to be a risk factor for cognitive decline and dementia. This article will review the usual complications of DM and link these complications to functional changes in the elderly population.
2013-07-25 | 457 visitas | Evalua este artículo 0 valoraciones
Vol. 62 Núm.4. Julio-Agosto 2010 Pags. 318-322 Rev Invest Clin 2010; 62(4-ENGLISH)