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of type 2 diabetes
respond to insulin.
Negligence of proper care and
management of blood glucose
levels for elderly individuals with
type 2 diabetes may lead to higher
mortality rate, reduced functional
capabilities and increased risk of
institutionalisation.
Treating diabetes among the
elderly can present unique
challenges because of the presence
of other disabilities associated with
ageing.
Furthermore, exercising and
adapting to dietary changes may be
more difficult for the elderly.
Heart disease
According to Dr Ahmad Maujad
Ali, cardiology and internal
medicine consultant at Oriental
Melaka Straits Medical Centre,
elderly patients who suffer from
diabetes or prediabetes have an
increased risk of heart disease.
Diabetic heart disease may be
coronary heart disease, heart
failure and diabetic Dr Mohd Hanizam Jaafar. Dr Tan Li Ping. Dr Rashidah Yasin. Dr Ahmad Maujad Ali.
cardiomyopathy, among many
others. they are suffering from kidney poor appetite. respiratory medicine and internal
However, in some elderly
patients, diabetic heart disease
disease. If the damage continues,
the kidneys could fail, requiring
In addition, it may cause
bacterial overgrowth, which leads
medicine consultant, says that
elderly patients with type 2
Negligence of
may show no signs or symptoms. dialysis or a kidney transplant. to chronic diarrhoea. It also diabetes should undergo regular proper care and
management of
Therefore, a heart health screening increases the patient’s risk of blood and urine checks to
may be beneficial for older
Digestive problems developing colon cancer, the ensure their diabetes is under
individuals who suffer from type 2
diabetes. According to Dr Mohd Hanizam
leading cancer in Malaysia.
Besides that, diabetes can
control.
The physician may prescribe blood glucose
Jaafar, gastroenterology and lead to fatty liver. Though oral hypoglycaemic agents or levels for elderly
Kidney failure internal medicine consultant at
Oriental Melaka Straits Medical
prevalent among elderly patients,
the disease itself usually causes no
insulin if necessary. Even so, the
damage caused by diabetes may individuals with
Kidney damage caused by
diabetes is known as diabetic
Centre, there are numerous ways
diabetes can harm or have ill
symptoms.
If fatty liver is not treated
not be reversible.
Therefore, elderly patients type 2 diabetes
nephropathy, says the centre’s
nephrology and internal medicine
effects on the digestive system,
particularly the stomach, intestines
early, it may develop into other
complications such as chronic liver
should control their blood
glucose level while minimising
may lead to higher
consultant Dr Tan Li Ping. and liver. disease, liver cirrhosis and the impact of diabetes on the mortality rate and
At the early stage, there are
usually no visible signs and
Long-standing or poorly
controlled diabetes may lead to
hepatocellular carcinoma. major organs.
reduced functional
symptoms.
Therefore, elderly patients with
diabetic gastroparesis, where
stomach movement is slower than
Treatment for the elderly n For more information, call
Oriental Melaka Straits Medical
capabilities.
diabetes may not be aware that normal, leading to vomiting and Dr Rashidah Yasin, the centre’s Centre at 06-315 8888.
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THE STAR, TUESDAY 21 AUGUST 2018 Senior Citizen's Day 3