monitoring, infrequent medical appointments, caregiver
stress, lack of transportation, and financial difficulties, all
of which can adversely affect DM care for older adults.
The use of a network of family and friends is a good tool
for DM management. One study found that when family
or friends attended clinic visits, patients were more motivated to understand, follow HCP advice, and find resolutions to difficult issues in DM care.30
Diabetes is a chronic illness with a high burden for older
adults. It is important to understand the experiences of
patients and HCPs that influence common diabetes barriers. In older adults, barriers should be evaluated in an
age-specific context to devise practical interventions to
overcome them. Individualizing therapies and empowering older adults prepares them to live confidently while
maintaining a sense of control over their lives. A patient-centered collaboration between HCPs and older adults
that incorporates a multidisciplinary team approach to
resolve problems can improve patient outcomes.
Additional research is needed to identify methods that
are most suitable and applicable to older adults. If new
evidenced-based research can eliminate diabetes barriers
and improve diabetes care in older adults, the consequential burden of diabetes is more likely to decline.
The author reports no actual or potential conflicts of interest
with regard to this article.
The opinions expressed herein are those of the author and do
not necessarily reflect those of Federal Practitioner, Frontline Medical Communications Inc., the U.S. Government,
or any of its agencies. This article may discuss unlabeled or
investigational use of certain drugs. Please review complete
prescribing information for specific drugs or drug combinations—including indications, contraindications, warnings,
and adverse effects—before administering pharmacologic
therapy to patients.
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