In older adults, Diabetes is a rising problem related to health and wellbeing all over the world. The factor of aging of the population all over the world is a key trigger and contributor to diabetes prevalence which is why the older population epitomizes the swiftest expanding population of diabetes patients. One of the major concerns over this is that in spite of the preventive measures taken at the Government level, is that the diabetic older population will grow drastically over the next few years because of the relation between age and diabetes. Studies show that almost 33% of the U.S. population above the age of 65 years suffer from diabetes while about 50% of this population is not diagnosed, prediabetes is also common in older adults as a further 33% of them are suffering from it. Pre-diabetes (Impaired glucose intolerance i.e., blood sugar level is high but not so high that patient is considered diabetic) is found to be associated with aging along with postprandial hyperglycemia (blood glucose level above a desirable level after one or two hours of eating) is also a protruding sign of type 2 diabetes in the older population. Similarly, age-interrelated insulin endurance is linked with variations in body makeup and physical laziness or immobility among many other factors. Along with macro-vascular and microvascular ailments, geriatric syndromes (healthcare issues related to old people) arise at a greater rate of recurrence in diabetic older adults and can influence health and quality of life, both are especially critical while getting older. These elderly disorders include fissures, despair, and presence of multiple health issues at the same time, hearing and sight loss, and complications of the urinary system. Diabetic persons also have more deteriorations in functional muscle strength and muscle loss, especially with aging. The menaces of overtreatment of hyperglycemia or undertreated hyperglycemia are significant in older adults mainly over the renal onset for glycosuria, comprising signs of desiccation, wooziness, and falls. The delinquency of diabetes amongst older adults is growing along with the cost of providing diabetes-related care.
Writing
Diabetes occurrence is growing overall worldwide irrespective of age and is now a widespread and prevalent issue with the rise in social and economic loads. Though, its occurrence and the cause of multiple other illnesses and death rates are more in the elderly as compared to in the young diabetic population because of long life expectancy and lifestyle modifications. Diabetes is a disturbance in metabolic condition over a longer period of time and is defined by hyperglycemia (high blood sugar level) and high-level of glycated hemoglobin along presence and absence of glycosuria. While glucose metabolism disorder (GMD) is a result of a lack of insulin production and pancreas secretion or lack of ability of insulin to act on the targeted tissues i.e., insulin resistance, or it can be both. Actually, Diabetes in older adults is categorized into two groups: first is type 1 diabetes which includes older adults who have survived diabetes at an earlier age, and later developed diabetes at an older age, and the other group is type 2 Diabetes. The first type, Type 1 Diabetes is very rare in older adults as it is an auto-immune disorder that usually impinges on young people. So, if type 1 Diabetes is present in any old people then they are almost at the last stage of their illness and the condition is complicated because of the presence of multiple diseases by then. Type 2 diabetes is most common among older adults over 60 years old because of the insulin resistance leading to a severe reduction in insulin secretion at the end stage of type 2 Diabetes. Reduction in insulin eventually results in several organs mutilating and malfunctioning, particularly the heart and blood vessels, kidneys, eyes, and nervous system. According to research, more than 25% of the U.S population with an age greater or equal to 65 years suffers from diabetes. The aging of the population is an important factor in diabetes prevalence as for some authors out of every two older adults one is either diabetic or pre-diabetic while other authors state that 8 out of 10 older adults suffer from dysglycemia to some level. While approximately half of the older population at risk is undiagnosed, a further one-third of older adults suffer from pre-diabetes. Pre-diabetes (Impaired glucose intolerance i.e., blood sugar level is high but not so high that patient is considered diabetic) is found to be associated with aging along with postprandial hyperglycemia (blood glucose level above a desirable level after one or two hours of eating) is also a protruding factor of type 2 diabetes in the older population. Therefore, healthcare providers suggest that a systematic screening test for postprandial glucose metabolism disorder is the finest way to diagnose the disease earlier and avoid other diabetic problems. One of the major concerns over this is that in spite of the preventive measures taken at the Government level, is that the diabetic older population will grow drastically in the next few years because of the relation between age and diabetes. In a research study conducted by Caspersen et al., diabetes has directly or indirectly affected 10.9 million of the US population, which is still a huge figure but the cases are subjected to a further burgeon. The current statistics are expected to rise by 55% by 2050. In terms of blood sugar level figures, Diabetes in old people is the same as the one in the younger population i.e., fasting glycemia equal to or greater than 1.26 g/l or glycemia after 75g glucose intake to be greater or equal to 2 g/l. while people having glycemia levels above 1.40 g/l suffer from an increase in glucose intolerance. However, the effects and the complications in the cases are directly related to the time period of exposure, the older the disease greater the susceptibility to complications. Older adults with diabetes are at considerable threat of both severe and persistent microvascular and cardiovascular problems of the disease and atherosclerosis, particularly to Diabetes along with vision and cognition-related impairments, particularly Alzheimer’s disease and similar other kinds of dementia. Along with microvascular and macro-vascular diseases, many geriatric syndromes arise at a higher rate in older diabetic adults and may disturb health results along with the quality of life that plays an important role while aging. These elderly disorders include fissures, despair, and occurrence of multiple diseases at the same time, hearing and sight loss, and complications of the urinary tract. Diabetic persons also have more deteriorations in functional muscle strength and muscle loss in older age. The menaces of overtreatment of hyperglycemia or undertreated hyperglycemia are significant in older adults mainly over the renal onset for glycosuria, comprising signs of desiccation, wooziness, and falls. The incidence of the reported cases of diabetes among the elder population is growing along with the cost of providing diabetes-related care. Anticipation is the best way to lessen Diabetes along with the problem of frailty in older adults. It includes physical movement and decreases in sweet and fatty food to avoid flabbiness and insulin resistance in older age. In overweight persons and people with Diabetic history, postprandial blood glucose level testing can assist in diagnosing Diabetes at an early stage prior to starting complications. While the medicinal treatments to control and cure diabetes in older adults include Glycemic targets, Medications, Metformin (reduction of glucose level by increasing insulin sensitivity), Insulin secretagogues: Sulfonylureas and meglitinides, Insulin, etc. As maturing in age is described by the high pervasiveness of related co-illnesses and risk of weakness. So, it is essential to offer high-quality and special care for older diabetic patients. Whichever treatment is chosen by the doctor it must be centered on elderly categorization and individuation to prevent iatrogenic problems, particularly desiccation and hypoglycemia.
Rewriting
Diabetes occurrence is growing all over the world irrespective of age and is now a widespread and prevalent issue with the rise in social and economic loads. Though, its occurrence and the cause of multiple other illnesses and death rates are more in the elderly as compared to in the young diabetic population because the cohort has a relatively long life duration and also has the ability to adopt a healthier lifestyle. Diabetes is a disturbance in metabolic condition over a longer period of time and is defined by hyperglycemia (high blood sugar level) and high-level of glycated hemoglobin along presence and absence of glycosuria. While glucose metabolism disorder (GMD) is a result of a lack of insulin production and pancreas secretion or lack of ability of insulin to act on the targeted tissues i.e., insulin resistance, or it can be both. Actually, Diabetes in older adults is categorized into two groups: first is type 1 diabetes which includes older adults who have survived diabetes at an earlier age, and later developed diabetes at an older age, and the other group is type 2 Diabetes. The first type, Type 1 Diabetes is very rare in older adults as it is an auto-immune disorder that usually impinges on young people. So, if type 1 Diabetes is present in any old people then they are almost at the last stage of their illness and the condition is complicated because of the presence of multiple diseases by then. Type 2 diabetes is most common among older adults over 60 years old because of the insulin resistance leading to the severe reduction in insulin secretion at the end stage of type 2 Diabetes. Reduction in insulin eventually results in several organs mutilating and malfunctioning, particularly the heart and blood vessels, kidneys, eyes, and nervous system. According to research, a quarter of the US population aged above 65 years is currently suffering from diabetes. The aging of the population is an important factor in diabetes prevalence as for some authors out of every two older adults one is either diabetic or pre-diabetic while other authors state that 8 out of 10 older adults suffer from dysglycemia to some level. While approximately half of the older population at risk is undiagnosed, and a further one-third of older adults suffer from pre-diabetes. Pre-diabetes (Impaired glucose intolerance i.e., blood sugar level is high but not so high that patient is considered diabetic) is found to be associated with aging along with postprandial hyperglycemia (blood glucose level above a desirable level after one or two hours of eating) is also a protruding factor of type 2 diabetes in the older population. Therefore, healthcare providers suggest that a systematic screening test for postprandial glucose metabolism disorder is the finest way to diagnose the disease earlier and avoid other diabetic problems. One of the major concerns over this is that in spite of the preventive measures taken at the Government level, is that the diabetic older population will grow drastically in the next few years because of the relation of age and diabetes. According to Caspersen et al., diabetes has directly or indirectly affected 10.9 million of the US population, which is still a huge figure but the cases are subjected to a further burgeon. The current statistics are expected to rise by 55% by 2050. In terms of blood sugar level figures, Diabetes in old people is the same as the one in younger population i.e., fasting glycemia equal to or greater than 1.26 g/l or glycemia after 75g glucose intake to be greater or equal to 2 g/l. while people having post-loading glycemia between 1.40 and 1.99 g/l suffer from an increase in glucose intolerance. However, the effects and the complications in the cases are directly related to the time period of exposure, the older the disease greater the susceptibility to complications. Older adults with diabetes are at considerable threat of both severe and persistent microvascular and cardiovascular problems of the disease and atherosclerosis particularly Diabetes along with vision and cognition-related impairments, particularly Alzheimer’s disease and similar other kinds of dementia. Along with microvascular and macro-vascular diseases, many geriatric syndromes arise at a higher rate in older diabetic adults and may disturb health results along with the quality of life that plays an important role while aging. These elderly disorders include fissures, despair, and occurrence of multiple diseases at the same time, hearing and sight loss, and complications of the urinary tract. Diabetic persons also have more deteriorations in functional muscle strength and muscle loss in older age. The menaces of overtreatment of hyperglycemia or undertreated hyperglycemia are significant in older adults mainly over the renal onset for glycosuria, comprising signs of desiccation, wooziness, and falls. The problem of diabetes among older adults is growing along with the cost of providing diabetes-related care. Anticipation is the best way to lessen Diabetes along with the problem of frailty in older adults. It includes physical movement and decreases in sweet and fatty food to avoid flabbiness and insulin resistance in older age. In overweight persons and people with Diabetic history, postprandial blood glucose level testing can assist in diagnosing Diabetes at an early stage prior to starting complications. While the medicinal treatments to control and cure diabetes in older adults include Glycemic targets, Medications, Metformin (reduction of glucose level by increasing insulin sensitivity), Insulin secretagogues: Sulfonylureas and meglitinides, Insulin, etc. As maturing in age is described by the high pervasiveness of related co-illnesses and risk of weakness. So, it is essential to offer high-quality and special care for older diabetic patients. Whichever treatment is chosen by the doctor it must be centered on elderly categorization and individuation to prevent iatrogenic problems, particularly desiccation and hypoglycemia.
Finalizing
Diabetes occurrence is growing overall worldwide irrespective of age and is now a widespread and prevalent issue with the rise in social and economic loads. Though, its occurrence and is the cause of multiple other illnesses and death rates are more in the elderly as compared to in the young diabetic population because of long life expectancy and lifestyle modifications. Diabetes is a disturbance in metabolic condition over a longer period and is defined by hyperglycemia (high blood sugar level) and a high level of glycated hemoglobin along with the presence and absence of glycosuria. While glucose metabolism disorder (GMD) is a result of a lack of insulin production and pancreas secretion or lack of ability of insulin to act on the targeted tissues i.e., insulin resistance, or it can be both.
Diabetes in older adults is categorized into two groups: first is type 1 diabetes which includes older adults who have survived diabetes at an earlier age, and later developed diabetes at an older age, and the other group is type 2 Diabetes. The first type, Type 1 Diabetes is very rare in older adults as it is an autoimmune disorder that usually impinges on young people. So, if type 1 Diabetes is present in any old people then they are almost at the last stage of their illness and the condition is complicated because of the presence of multiple diseases by then. Type 2 diabetes is most common among older adults over 60 years old because of the insulin resistance leading to a severe reduction in insulin secretion at the end stage of type 2 Diabetes (Meneilly & Tessier, 2001). Reduction in insulin eventually results in several organs mutilating and malfunctioning, particularly the heart and blood vessels, kidneys, eyes, and nervous system.
According to research, more than 25% of the U.S. population with an age greater than or equal to 65 years suffers from diabetes (Kirkman, 2012). The aging of the population is an important factor in diabetes prevalence as for some authors out of every two older adults one is either diabetic or prediabetic while other authors state that 8 out of 10 older adults suffer from dysglycemia to some level (Chentli et al., 2015, p. 744). While approximately half of the older population at risk is undiagnosed, a further one-third of older adults suffer from prediabetes (Kalyani et al., 2017, p. 441). Prediabetes (Impaired glucose intolerance i.e., blood sugar level is high but not so high that the patient is considered diabetic) is found to be associated with aging along with postprandial hyperglycemia (blood glucose level above a desirable level after one or two hours of eating) is also a protruding factor of type 2 diabetes in the older population. Therefore, healthcare providers suggest that a systematic screening test for postprandial glucose metabolism disorder is the finest way to diagnose the disease earlier and avoid other diabetic problems.
One of the major concerns over this is that despite the preventive measures taken at the Government level, is that the diabetic older population will grow drastically in the next few years because of the relation between age and diabetes. Diabetes has directly or indirectly affected 10.9 million of the US population, which is still a huge figure, but the cases are subjected to a further burgeon. The current statistics are expected to rise by 55% by 2050 (Caspersen et al., 2012, p. 1485). In terms of blood sugar level figures, Diabetes in old people is the same as the one in younger population i.e., fasting glycemia equal to or greater than 1.26 g/l or glycemia after 75g glucose intake to be greater or equal to 2 g/l. while people having post-loading glycemia between 1.40 and 1.99 g/l suffer from an increase in glucose intolerance.
Diabetes complications and co-morbidities are more frequent in old diabetics compared to their young counterparts. Older adults with diabetes are at considerable threat of both severe and persistent microvascular and cardiovascular problems of the disease and to atherosclerosis particularly to Diabetes along with vision and cognition-related impairments, particularly Alzheimer’s disease and similar other kinds of dementia. Along with microvascular and macrovascular diseases, many geriatric syndromes arise at a higher rate in older diabetic adults and may disturb health results along with the quality of life, which plays an important role while aging. These elderly disorders include fissures, despair, the occurrence of multiple diseases at the same time, hearing and sight loss, and complications of the urinary tract. Diabetic persons also have more deteriorations in functional muscle strength and muscle loss in older age (Chentli et al., 2015, p. 744).
The menaces of overtreatment of hyperglycemia or undertreated hyperglycemia are significant in older adults mainly over the renal onset for glycosuria, comprising signs of desiccation, wooziness, and falls. The incidence of diabetes cases among the elder population is growing along with this the medicinal expenditure on diabetes and related complications have also increased manifolds. Anticipation is the best way to lessen Diabetes along with the problem of frailty in older adults (Caspersen et al., 2012, p. 1485). It includes physical movement and a decrease in sweet and fatty food to avoid flabbiness and insulin resistance in older age. In overweight persons and people with Diabetic history, postprandial blood glucose level testing can assist in diagnosing Diabetes at an early stage before the start of complications.
While the medicinal treatments to control and cure diabetes in older adults include Glycemic targets, Medications, Metformin (reduction of glucose level by increasing insulin sensitivity), Insulin secretagogues: Sulfonylureas and meglitinides, Insulin, etc (Chentli et al., 2015, p. 744).
As maturing in age is described by the high pervasiveness of related co-illnesses and risk of weakness. So, it is essential to offer high-quality and special care for older diabetic patients. Whichever treatment is chosen by the doctor it must be centered on elderly categorization and individuation to prevent iatrogenic problems, particularly desiccation and hypoglycemia.
Proofreading
Diabetes occurrence is growing overall worldwide irrespective of age and is now a widespread and prevalent issue with the rise in social and economic loads. Though, its occurrence and is the cause of multiple other illnesses and death rates are more in the elderly as compared to in the young diabetic population because the cohort has a relatively long life duration and also has the ability to adopt a healthier lifestyle. Diabetes is a disturbance in metabolic condition over a longer period and is defined by hyperglycemia (high blood sugar level) and a high level of glycated hemoglobin along with the presence and absence of glycosuria. While glucose metabolism disorder (GMD) is a result of a lack of insulin production and pancreas secretion or lack of ability of insulin to act on the targeted tissues i.e., insulin resistance, or it can be both.
In terms of blood sugar level in figures, Diabetes in old people is the same as the one in younger population i.e., fasting glycemia equal to or greater than 1.26 g/l or glycemia after 75g glucose intake to be greater or equal to 2 g/l. while people having post-loading glycemia levels above1.40 and 1.99 g/l suffer from an increase in glucose intolerance.
Diabetes in older adults is categorized into two groups: first is type 1 diabetes which includes older adults who have survived diabetes at an earlier age, and later developed diabetes at an older age, and the other group is type 2 Diabetes. The first type, Type 1 Diabetes is very rare in older adults as it is an autoimmune disorder that usually impinges on young people. So, if type 1 Diabetes is present in any old people then they are almost at the last stage of their illness and the condition is complicated because of the presence of multiple diseases by then. Type 2 diabetes is most common among older adults over 60 years old because of the insulin resistance leading to a severe reduction in insulin secretion at the end stage of type 2 Diabetes (Meneilly & Tessier, 2001). Reduction in insulin eventually results in several organs mutilating and malfunctioning, particularly the heart and blood vessels, kidneys, eyes, and nervous system.
According to research, more than 25% of the U.S. population with an age greater than or equal to 65 years suffers from diabetes (Kirkman, 2012). The aging of the population is an important factor in diabetes prevalence as for some authors out of every two older adults one is either diabetic or prediabetic while other authors state that 8 out of 10 older adults suffer from dysglycemia to some level (Chentli et al., 2015, p. 744). While approximately half of the older population at risk is undiagnosed, a further one-third of older adults suffer from prediabetes (Kalyani et al., 2017, p. 441). Prediabetes (Impaired glucose intolerance i.e., blood sugar level is high but not so high that the patient is considered diabetic) is found to be associated with aging along with postprandial hyperglycemia (blood glucose level above a desirable level after one or two hours of eating) is also a protruding factor of type 2 diabetes in the older population.
One of the major concerns over this is that despite the preventive measures taken at the Government level, is that the diabetic older population will grow drastically in the next few years because of the relation between age and diabetes. According to Caspersen et al., diabetes either diagnosed and/or undiagnosed affects approximately 10.9 million US adults age 65 years or above, and this number is supposed to reach 26.7 million by 2050, which means a 55% increase in the number of all diabetes cases concerning the current figures (Caspersen et al., 2012, p. 1485). Therefore, healthcare providers suggest that a systematic screening test for postprandial glucose metabolism disorder is the finest way to diagnose the disease earlier and avoid other diabetic problems.
Diabetes complications and co-morbidities are more frequent in old diabetics compared to their young counterparts. Older adults with diabetes are at considerable threat of both severe and persistent microvascular and cardiovascular problems of the disease and to atherosclerosis particularly to Diabetes along with vision and cognition-related impairments, particularly Alzheimer’s disease and similar other kinds of dementia. Along with microvascular and macro-vascular diseases, many geriatric syndromes arise at a higher rate in older diabetic adults and may disturb health results along with the quality of life, which plays an important role while aging. These elderly disorders include fissures, despair, the occurrence of multiple diseases at the same time, hearing and sight loss, and complications of the urinary tract. Diabetic persons also have more deteriorations in functional muscle strength and muscle loss in older age (Chentli et al., 2015, p. 744).
The menaces of overtreatment of hyperglycemia or undertreated hyperglycemia are significant in older adults mainly over the renal onset for glycosuria, comprising signs of desiccation, wooziness, and falls. The problem of diabetes among older adults is growing along with the cost of providing diabetes-related care. Anticipation is the best way to lessen Diabetes along with the problem of frailty in older adults (Caspersen et al., 2012, p. 1485). It includes physical movement and a decrease in sweet and fatty food to avoid flabbiness and insulin resistance in older age. In overweight persons and people with Diabetic history, postprandial blood glucose level testing can assist in diagnosing Diabetes at an early stage before the start of complications.
While the medicinal treatments to control and cure diabetes in older adults include Glycemic targets, Medications, Metformin (reduction of glucose level by increasing insulin sensitivity), Insulin secretagogues: Sulfonylureas and meglitinides, Insulin, etc (Chentli et al., 2015, p. 744).
As maturing in age is described by the high pervasiveness of related co-illnesses and risk of weakness. So, it is essential to offer high-quality and special care for older diabetic patients. Whichever treatment is chosen by the doctor it must be centered on elderly categorization and individuation to prevent iatrogenic problems, particularly desiccation and hypoglycemia.
Summary
For me, writing a complete flawless project seems to be intimidating and upsetting sometimes. But this writing practice helped me a lot to build my confidence not only in my writing ability but also in reviewing my work critically. This assignment also helped me to analyze my work from my peer’s perspectives and to be open and considerate to changes suggested by them in the rewriting and proofreading steps. I really enjoyed the whole process and I am confident this assignment will help me in future writing task as well.
References
Caspersen, C. J., Thomas, G. D., Boseman, L. A., Beckles, G. L. A., & Albright, A. L. (2012). Aging, Diabetes, and the Public Health System in the United States. American Journal of Public Health, 102(8), 1482–1497.
https://doi.org/10.2105/ajph.2011.300616
Chentli, F., Azzoug, S., & Mahgoun, S. (2015). Diabetes mellitus in the elderly. Indian Journal of Endocrinology and Metabolism, 19(6), 744.
https://doi.org/10.4103/2230-8210.167553
Kalyani, R. R., Golden, S. H., & Cefalu, W. T. (2017). Diabetes and Aging: Unique Considerations and Goals of Care. Diabetes Care, 40(4), 440–443. https://doi.org/10.2337/dci17-0005
Kirkman, M. S. (2012, December). Diabetes in Older Adults (35(12)). https://doi.org/10.2337/dc12-1801
Meneilly, G. S., & Tessier, D. (2001). Diabetes in Elderly Adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(1), M5–M13. https://doi.org/10.1093/gerona/56.1.m5
