Endocrine Abstracts

Introduction: The prevalence of diabetes mellitus increases with age in all population. With the demographic transition and population aging, diabetes mellitus will be a major public health problem in all countries.

Aims: to study the specific management of diabetes in very old subjects with multiple co morbidities and functional disabilities.

Patients and Methods: We described a population of 199 diabetic patients aged 80 years and over consecutively admitted in the department of endocrinology from August 2007 to August 2011.

Results: patients are hospitalized in emergency and particularly with diabetic ketoacidosis or hyperglycemic hyperosmolar state. 12 patients were newly diagnosed with type 1 diabetes mellitus On 104 patients who were hospitalized for chronic complications of diabetes mellitus 75 subjects had diabetic foot ulcers.

We described the characteristics of diabetes and its management and therapeutic goals in the elderly over 80 years old\..: The management of very elderly patients with any type of diabetes requires careful consideration. Advancing age and changes in health status can have on the competing risks and benefits of therapeutic interventions.

Declaration of interest: The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.

Funding: This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.