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Diabetes and Aging: How to stay healthy and active in later life

Diabetes and Aging: How to stay healthy and active in later life

Tuesday November 14, 2023

Diabetes is a chronic condition that can affect people of all ages, including older adults. Managing diabetes and staying healthy and active in later life is essential for maintaining a good quality of life.

Diabetes and aging are closely intertwined as people with diabetes, particularly type 2 diabetes, often face distinct challenges as they grow older. With age, the risk of developing diabetes-related complications, such as cardiovascular issues, neuropathy, and vision problems, increases. It becomes essential for older adults to manage their blood sugar levels diligently, often necessitating medication adjustments.

Here are some tips to help you or your loved ones with diabetes age healthily and stay active:

Increased risk of complications: The longer a person has diabetes, the higher the risk of developing diabetes-related complications. It’s essential to manage the condition effectively to minimize the risk of complications such as heart disease, kidney disease, nerve damage, and vision problems.

Medication adjustments: As people age, their medication needs may change. Older adults may require adjustments to their diabetes medications or insulin doses. Regular monitoring and consultation with a healthcare provider are crucial to ensure proper management.

Coexisting health conditions: Older adults with diabetes often have other chronic health conditions such as hypertension, high cholesterol, and arthritis. Managing these conditions alongside diabetes is important for overall health and well-being.

Cognitive health: Some older adults with diabetes may face cognitive challenges, including an increased risk of dementia. Proper blood sugar control, a healthy diet, regular exercise, and cognitive stimulation can help maintain brain health.

Hypoglycemia risk: Hypoglycemia (low blood sugar) can be more dangerous for older adults, as it can lead to falls, confusion, and other complications. Be vigilant in monitoring blood sugar levels and recognizing the signs of hypoglycemia.

Nutritional needs: Nutritional requirements may change with age, and older adults should focus on a diet that supports their specific health needs. This may involve adjusting portion sizes, reducing sodium intake, and ensuring adequate intake of essential nutrients.

Mobility and exercise: Physical activity remains important in older age, but exercise routines may need to be adapted to accommodate any mobility issues or physical limitations. Low-impact activities like walking, swimming, or tai chi can be suitable options.

Regular health screenings: Routine screenings for diabetes-related complications, such as eye and foot exams, are essential for early detection and intervention. Additionally, older adults should stay current with general health screenings like cholesterol and blood pressure checks.

Medication management: Older adults may take multiple medications, and it’s crucial to manage them properly. Ensure you understand each medication’s purpose, dosage, and potential interactions. Use a medication organizer if needed.

Social and emotional support: Loneliness and depression can affect older adults with diabetes. Staying socially connected and seeking emotional support from friends, family, or support groups can have a positive impact on mental health and diabetes management.

Advanced care planning: It’s important to have discussions about end-of-life care and preferences with healthcare providers and loved ones. This includes decisions about diabetes management as an individual’s health deteriorates.

Financial considerations: The cost of managing diabetes, especially in older age, can be a concern. Ensure you have a plan for managing healthcare expenses and consider financial resources such as Medicare or Medicaid.

Managing diabetes in older age requires a holistic approach that takes into account an individual’s overall health and unique needs. Regular communication with healthcare providers and a commitment to a healthy lifestyle can help older adults with diabetes maintain a high quality of life as they age.

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Diabetes and Aging: Unique Considerations and Goals of Care | Diabetes Care | American Diabetes Association (

Diabetes: What happens as we age? – Mayo Clinic Health System  



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