Which of the following statements by the new nurse best conveys an understanding of diabetes in older adults?
A) "A combination of lifestyle factors and age-related changes contributes to high rates of diabetes among older adults."
B) "Development of diabetes later in life is considered a normal, age-related change."
C) "Health care providers should avoid drawing conclusions about diabetes risk based on ethnicity."
D) "The diagnosis of diabetes in older adults is complicated by subtle signs and symptoms."
Ans: A
The high prevalence and incidence of diabetes among older adults is attributable to lifestyle, genetic, and age-related factors. Ethnicity is a valid variable that needs to be considered, given that some minority groups have significantly higher rates of diabetes. Some symptoms of hypoglycemia are subtle in the older adult, but diagnosis is based on laboratory data that do not change with aging. While age-related changes contribute to a susceptibility to diabetes, the development of the disease should not be considered a normal, age-related change in and of itself.
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