Özet:

As in the world, the population is increasing. The rate of diabetes in the elderly population is high. According to the results of the Diabetes Epidemiology Study (TURDEP2) 65-year-old diabetics account for about 40% of all diabetics. In the elderly individuals with diabetes, the presence of accompanying diseases such as weakness, accelerated muscle loss, coronary heart disease, stroke and hypertension and early death rates are higher than those with non-diabetes. The main stone of treatment is the training of the person responsible for the patient or patient care. Patients are recommended primarily medical nutrition therapy (TBT) and lifestyle changes. Age-related changes when dietary treatment is planned (dental loss, change in taste and smell, disorder of absorption associated with changes in the gastrointestinal system, multiple drug use, etc.) must be taken into account. The dietary treatment of the elderly diabetes should be aimed at preventing acute hyperglycemic complications, preventing hypoglycemia, preventing or delaying chronic complications such as cardiovascular complications, nefropathy, neuropathy. The priority is the elimination of the symptoms and symptoms of hyperglycemia, providing a normal life expectancy in the elderly with a good general condition and level of consciousness. In vulnerable older people, the goal is to prevent acute metabolic complications. The nutritional status of an elderly person with diabetes should be well assessed. The presence of malnutrition as well as the presence of obesity is often seen in older people with diabetes. For the assessment of the nutritional status of the elderly patient, food consumption record, body weight change, anthropometric measurements, laboratory data and mini-nutritional assessment (MNA) are important.

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