Diabetes and The Elderly

What is Diabetes?


Diabetes comes in three forms, Diabetes 1, Diabetes 2, and Gestational Diabetes which usually occurs in pregnant women and will not be discussed in this article. The first form also known as Diabetes Mellitus is when the pancreas does not produce insulin. This occurs when the body attacks the pancreas with antibodies resulting in its failure of providing insulin. It primarily begins in young children and adults but impacts them for the rest of their lives. Type 2 Diabetes, however, is when the body fails to produce or use insulin effectively. It is the most common type of Diabetes and occurs in middle-aged and older adults. It is crucial to monitor diabetes and receive proper treatment otherwise, serious health issues like heart disease, eye problems, and nerve damage can arise. Currently, there is no cure for Diabetes, but with proper treatment and a healthy lifestyle, one can live a long and happy life.


Symptoms of Diabetes 1


Symptoms of Diabetes 1 have been reported as…


  • Thirst
  • Frequent urination
  • Extreme hunger
  • Bed-wetting
  • Mood swings
  • Unintended weight loss
  • Blurred vision
  • Weakness or fatigue


Symptoms of Diabetes 2


Some common symptoms of Type 2 Diabetes include but are not limited to feeling tired, increased hunger or thirst, losing weight without trying, blurred vision, and urinating often. Healing slowly from cuts and bruises or developing skin infections have also been reported. It is very important to get checked regularly for diabetes, especially for seniors as many of them claim that what they are experiencing are just symptoms of “getting old.” On the contrary, these could be signs of a serious and underlying problem.


Testing for Diabetes


Some common blood tests to help diagnose Diabetes include…


  1. Fasting Plasma Glucose Test – Must be taken after having gone without food for at least 8 hours.
  2. Oral Glucose Tolerance Test – Taken after fasting overnight and again 2 hours after drinking a surgery drink. (Not given for Type 2 Diabetes.)
  3. A1C Test – Can be given at anytime during the day. Shows the average glucose levels from the past 3 months.
  4. Random Plasma Glucose Test – Given at anytime during the day.


Managing Diabetes


There are a number of ways to help manage diabetes, one of them being a change in lifestyle. For instance, implementing exercise and a healthy diet into one’s daily routine can improve the quality and satisfaction of life. Before starting any diet or fitness regime, it is, however, crucial to meet with healthcare professionals such as doctors, diabetes educators, dietitians, and fitness coaches. Furthermore, the right medication also plays a significant role in managing diabetes. Insulin injections, diabetes pills, and other medications helping with high blood pressure and cholesterol might be prescribed. Usually, once a patient has been diagnosed with diabetes, a healthcare team creates a diabetes management plan specifically for that person. The plan is based on health goals, lifestyle preferences, and other health conditions present. Some things that the diabetes management plan covers and teaches are things like: how to track your glucose levels, make healthy food choices, be active, and take your medications.

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Discussing In-Home Care with Your Loved Ones: A Compassionate Approach

By Daisy Sarino • March 28, 2025
As our loved ones age or face health challenges, the topic of in-home care often becomes a necessary conversation. However, discussing this sensitive subject can be emotionally charged, bringing up concerns about independence, finances, and quality of life. Whether you’re approaching this discussion with an aging parent, a spouse, or another family member, it’s important to handle it with empathy, patience, and careful planning. Why In-Home Care? In-home care offers a valuable alternative to assisted living or nursing homes, allowing individuals to receive personalized support while staying in a familiar and comfortable environment. This can range from occasional help with housekeeping and meal preparation to full-time medical assistance. The benefits include: Maintaining Independence – Remaining at home helps individuals retain their daily routines and lifestyle. Personalized Care – Services are tailored to meet specific needs rather than a one-size-fits-all approach. Emotional Comfort – Being in familiar surroundings can reduce stress and anxiety. Family Involvement – Loved ones can stay actively engaged in care decisions. How to Start the Conversation Bringing up in-home care can be difficult, but with the right approach, it can lead to a positive outcome. Here are some tips to ease into the discussion: 1. Choose the Right Time and Setting Find a calm, comfortable setting where everyone can speak openly. Avoid discussing it during stressful moments or family gatherings. 2. Listen to Their Concerns Instead of making demands, ask open-ended questions like: “How are you feeling about managing things at home?” “What tasks are becoming more difficult for you?” “Would it help to have someone assist with certain chores?” Allow them to express their concerns, fears, and preferences. 3. Focus on Their Needs, Not Limitations Approach the conversation from a place of support rather than focusing on what they can’t do. Emphasize how in-home care can enhance their quality of life rather than take away their independence. 4. Provide Information and Options Research different types of in-home care services beforehand so you can present options rather than ultimatums. Be prepared to discuss: Levels of care available (companion care, personal care, skilled nursing) Costs and potential insurance coverage Reputable agencies or providers in your area 5. Involve Other Family Members or Trusted Advisors Sometimes, having another voice in the conversation—such as a sibling, doctor, or close friend—can provide reassurance and additional perspectives. 6. Be Patient and Revisit the Discussion Your loved one may need time to process the idea of in-home care. If they’re resistant at first, don’t force the decision. Revisit the conversation periodically, especially if their needs change. Making the Transition Easier Once they’re open to the idea, involve them in selecting a caregiver and setting up a trial period. Small steps can help ease the transition and make them feel more in control of their care. Final Thoughts Discussing in-home care is a deeply personal and often challenging conversation, but with understanding and open communication, you can ensure your loved one gets the support they need while maintaining their dignity and independence. By focusing on their well-being and offering choices, you can help create a care plan that brings comfort to both them and your family.
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