If you have older relatives, chances are at least one of them has Type 2 Diabetes. Or will. As people age, their risk of developing Type 2 Diabetes increases. Not only does the risk increase, but so do the challenges of managing diabetes in older adults.
When older adults are diagnosed with diabetes, there are unique medical, financial and physical issues for the patient’s doctor and family to consider that are less likely to confront younger diabetic patients. These issues include co-existing conditions, lack of adequate insurance coverage, finding transportation to doctor appointments, access to nutritional meals and the ability to exercise.
Co-Existing Conditions
The presence of co-existing conditions in older adults can make recognizing diabetes more difficult and complications more likely. Older people experiencing symptoms of chronic thirst, frequent urination, fatigue and weakness may dismiss them as typical signs of old age. Likewise for blurred vision, particularly if they already have cataracts or other age-related eye diseases.
Ignoring these symptoms means that when the disease is ultimately diagnosed, complications are more likely. This is due to the prolonged damaging effects of high blood sugar. Some complications can even be life-altering or life-threatening, such as
- Blindness from diabetic retinopathy
- Peripheral neuropathy potentially resulting in infection and amputation
- Kidney failure and the need for dialysis
- Cardiovascular disease that could lead to heart attack or stroke
Insurance Coverage
The expenses of follow-up appointments with the doctor and nutritionist, as well as diabetes medicines and supplies can add up quickly and be a financial burden for those who are uninsured or underinsured. Medicare Plan D can help pay for prescriptions for seniors who qualify. Others may qualify for Medicaid or State Health Insurance Counseling and Assistance Programs (SHIP).
Transportation Issues
For older adults who can no longer drive, getting to and from doctor’s appointments and pharmacies can be challenging. Older patients must either rely on available family and friends, public transportation or community-sponsored transportation for seniors. It may be difficult for family or friends to be available at certain times, and public transportation may be too expensive or physically difficult to maneuver for seniors.
Food and Nutrition
Eating healthy isn’t cheap, and older adults on a fixed income may not have the means to buy healthy foods such as vegetables and fruits. Not only can nutritious meals be expensive, but also difficult to prepare. If family or friends are not available to help, some senior community centers or service agencies may offer or deliver healthy, low-cost meals.
Exercise
Exercise is key to controlling blood sugar levels. However, getting enough exercise can be problematic for older adults with limited mobility. Older adults should check with local gyms and senior community centers to see if they offer fitness programs for seniors, and transportation, if that is an issue. Of course, they should also consult their doctor prior to starting any exercise routine.
SUPPORTER