The new version of the guidelines for diabetes in the elderly was released: emphasizing comprehensive assessment and individualized treatment

Recently, the National Geriatrics Center, the Geriatrics Branch of the Chinese Medical Association and the Diabetes Professional Committee of the Chinese Geriatric Health Care Association jointly released a new version of the guidelines for geriatric diabetes - "Guidelines for the Diagnosis and Treatment of Diabetes in the Elderly in the Chinese (2024 Edition)" (hereinafter referred to as the "Guidelines"). The release of this guideline marks an important step in the diagnosis and treatment of elderly diabetes mellitus in China, emphasizing the comprehensive assessment of elderly diabetic patients, and the development of individualized treatment, care and rehabilitation strategies according to health status.
As an age-related chronic disease, the prevalence of diabetes increases with age. According to statistics, the number of elderly diabetic patients aged 65 and above in China has exceeded 35.5 million, ranking first in the world, and is on the rise. This large patient population requires more detailed and comprehensive medical care due to its special physical and psychological characteristics.
The guidelines clearly state that a comprehensive assessment of older patients with diabetes is the key to developing an effective treatment plan. This assessment involves not only the patient's physical condition and functional status, but also factors such as mental health and social environment. Through a multidisciplinary approach, doctors are able to get a more complete picture of a patient's overall health, which can lead to a treatment plan that is more realistic for the patient.
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The comprehensive assessment items include comorbidities, liver and kidney function, medication, daily living ability and instrumental daily living ability, cognitive function, mental state, nutritional status, etc., and the patient's health status is divided into three grades: "good", "moderate" and "poor". This grading system not only helps doctors develop personalized treatment plans for patients, but also helps patients and their families better understand their conditions and actively cooperate with treatment.
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It is worth mentioning that lifestyle interventions are an important part of treatment regardless of the patient's health status. With a sensible diet and moderate exercise, many older people with diabetes are able to effectively control their blood sugar levels. The guidelines emphasize that nutritional therapy should be carried out throughout the treatment of diabetes, especially the intake of high-quality protein is of great significance for the prevention of sarcopenia and frailty.
In terms of exercise, the guidelines recommend moderate-intensity aerobic exercise, such as brisk walking, fitness dancing, etc., and recommend at least 5-7 days of exercise per week to improve the body's flexibility and balance. At the same time, it can also be intervened with the help of functional medicine physical interventions or traditional Chinese medicine methods.