TABLE 1.

Summary of Potential Challenges in Managing Type 2 Diabetes in Older Adults

Age-Related FactorsHealth and Psychological FactorsSocioeconomic Factors
  • • Altered glucose metabolism

  • • Decline in renal function

  • • Changes in hepatic drug metabolism

  • • Functional limitations

    • ◦ Impaired mobility

    • ◦ Impaired hand dexterity

    • ◦ Vision impairment

  • Cognitive impairment or dementia

  • Depression and/or anxiety

  • Multiple comorbidities

  • Polypharmacy

  • • Limited social support

    • ◦ Difficulty in accessing healthy food

  • • Difficulty in accessing care

    • ◦ Health insurance issues

    • ◦ Limited income

    • ◦ Prescription expense

  • • Differing care settings

  • • Clinical capacity of health care professionals in assisted living or group home settings

  • • Transitions in care setting