DIABETES IN OLD AGE, 4TH EDITION

• Section A: Pathophysiology screening and diagnosis1
1 Pathophysiology of diabetes in older people 3
2 Type 1 diabetes in older age 13
3 Preventative strategies 20
4 Diagnosis and screening 29
5 Assessment procedures including comprehensive geriatric assessment 43
• Section B: Vascular risk factors and complications 55
6 Peripheral arterial disease 57
7 Coronary heart disease 67
8 Chronic kidney disease related to diabetes in older patients 84
9 Visual loss in people with diabetes in old age 106
10 Diabetes foot disease 113
11 Diabetes neuropathy and old age 125
12 Sensory disabilities in people with diabetes 137
13 Sexual health and wellbeing 148
14 eHealth and diabetes: Designing a novel system for remotely monitoring older adults with type 2 diabetes 167
• Section C: Treatment and care issues 177
15 Insulin resistance and the metabolic syndrome 179
16 Diabetes and functional limitation: The emergence of frailty and disability 213
17 Metabolic decompensation in older people 225
18 Nutrition management 240
19 Physical exercise management 267
20 Medicines pharmacovigilance and the importance of undertaking comprehensive assessments and regular medicine reviews 277
21 Glucose ]lowering drugs 298
22 Insulin therapy 323
23 Hypertension in older diabetic patients 338
24 Hypoglycemia 350
25 Diabetes in care homes 360
26 Primary and community care of diabetes in older people 376
27 Inpatient diabetes care and admissions avoidance in older people with diabetes 395
• Section D: Management of associated complications 411
28 Diabetes and co ]morbidities 413
29 Diabetes and cognitive dysfunction 426
30 Mood disorders 437
31 Falls and diabetes 448
32 Managing pain 456
33 Palliative and end ]of ]life care 470
• Section E: Optimizing diabetes care in older people 489
34 Diabetes education and the older adult 491
35 Supporting the family and informal carers 505
36 Public health issues and community impact 516
37 Providing cost ]effective diabetes care 525
38 Clinical trials in older people 533

This new edition of the popular and market-leading Diabetes in Old Age features up-to-date and comprehensive information about the key aspects of managing older people with diabetes, predominantly type 2 diabetes.
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 health care arenas are presented, and the importance of comprehensive functional assessment is emphasized. Coverage of areas unique to an ageing 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.

Diabetes in Old Age, 4th edition 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.

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