Which is the most likely reason that Type 2 diabetes mellitus is often difficult to di-agnose in older adults?
a. Presenting symptoms occur very quickly.
b. The disease rarely occurs in older adults.
c. The classic symptoms may not be present in older adults.
d. There are no recognizable symptoms; it is a "silent killer."
ANS: C
The symptoms are also often masked by normal aging changes and conditions common in older adults. Polydipsia often does not occur due to the decreased thirst mechanism in older adults, polyphagia is often not recognized due to normal appetite declines associated with aging, and polyuria is often not recognized due to frequent urinary tract infections in older adults. Presenting symptoms usually occur very slowly. Type 2 diabetes mellitus is very common in older adults. There are symptoms of diabetes mellitus in older adults; however, they may be different than in younger adults.
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