Diabetes mellitus in the elderly: a manifestation and a
Question: My mother (86let) disabled 2-nd group. She has coronary artery disease and rheumatoid arthritis. It takes constant medication prescribed by doctor. For about a week in her hands grow cold on both hands. So she feels dryness in the mouth and private urination. She donated blood sugar. The doctor said that the analysis in the normal range. Besides my mother's severe dizziness. Practitioner all the time refers to the age. Tell manifests itself as diabetes mellitus in the elderly? What indicators show the presence of the disease
Answer: The main criterion for diagnosis – fasting blood sugar (see the rules in the FAQ on the diagnosis). In elderly patients more informative diagnostic test may be a "Load of Sugar (sugar before and 2 h after ingestion of 75 g glucose syrup form), but to insist on his holding is worth only if my mother found sugar in the overall analysis of urine . If sugar is normal – that dry mouth and frequent urination should look for another explanation. If higher than normal – it must be to an endocrinologist evaluated the results of the analysis, the conclusion on the diagnosis and prescribe treatment (usually the first step in treatment of CD in older patients is a diet and weight loss when it is abundant).