International Journal of Epidemiology, Vol 20, S25-S29, Copyright © 1991 by International Epidemiological Association
A Casparie
As the result of an increase in the ageing of the population and an
expected rise in age-specific incidence, the number of elderly patients
with diabetes mellitus will increase in most developed countries. However,
in elderly diabetic patients, the difference in prevalence of late
complications such as microalbuminuria, neuropathy and atherosclerosis with
that in the normal population tends to disappear. In contrast retinopathy
is a frequently occurring complication among elderly diabetics which does
not appear in the normal population. As a result there will be an increase
in demand for health care by the elderly diabetic population in future and
epidemiological research can help find a solution to this problem.
Estimation of the prevalence of known and unknown diabetes mellitus over
time, and of the late complications, in different age groups is
recommended. In addition, further research needs to be done on the risk
factors for the age- related increase of glucose impairment and diabetes
mellitus and on the risk factors for late complications in the elderly
patient.
ARTICLES
Epidemiology of type II diabetes mellitus and ageing of the population: health policy implications and recommendations for epidemiological research
Department of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands.
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