Skip to main content
SpringerLink
Log in

Nutrition and Lifestyle Change in Older Adults with Diabetes Mellitus and Metabolic Syndrome

  • Chapter
  • First Online:
Handbook of Clinical Nutrition and Aging

Part of the book series: Nutrition and Health ((NH))

Abstract

Diabetes Mellitus is a global public health epidemic. In developing countries, the majority of people with diabetes are 45–64 years of age, while in developed countries the majority are over age 65. The aging population continues to contribute to the prevalence and resultant burden of functional impairment, intensive care and mortality. Diabetes interventions aim to prevent or delay long-term complications of elevated blood glucose and associated metabolic abnormalities and improve quality of life. Metabolic syndrome, a cluster of abnormalities including hypertension, dyslipidemia, abdominal obesity and abnormal blood glucose levels, affects over 40 % of adults over age 70. Hypoglycemia is a limiting factor is diabetes management and older adults may have increased risks due to poor nutritional status, cognitive dysfunction, poly-pharmacy and comorbid health conditions. Common comorbidities accompanying diabetes may include retinopathy, cardiovascular disease, peripheral vascular disease and congestive heart failure, which may result in decreased usual activity and limitations in activities of daily living such as shopping for food and ability to read labels and menus. Rates of depression are elevated in the diabetes population, making careful assessment of depressive symptomology, consideration of impact on dietary intake, diabetes self-care and health outcomes and provision of support critical.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Centers for Disease Control and Prevention. National diabetes fact sheet: general information and national estimates on diabetes in the United States. Atlanta, GA: U.S. Department of Health and Human Services; 2011.

    Google Scholar 

  2. Prevention CfDCa. 2011 National diabetes fact sheet Atlanta, GA2013 (October 30 2013). Available from: cdc.gov/diabetes/pubs/factsheet.

    Google Scholar 

  3. Sue Kirkman M, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, et al. Diabetes in older adults: a consensus report. J Am Geriatr Soc. 2012;60:2342–56. PubMed PMID: 23106132. Epub 2012/10/31. Eng.

    CAS  PubMed  Google Scholar 

  4. Whiting DR, Guariguata L, Weil C, Shaw J. IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011;94(3):311–21. PubMed PMID: 22079683. Epub 2011/11/15. eng.

    PubMed  Google Scholar 

  5. Corriere M, Rooparinesingh N, Kalyani RR. Epidemiology of diabetes and diabetes complications in the elderly: an emerging public health burden. Curr Diab Rep. 2013;13(6):805–13. PubMed PMID: 24018732.

    PubMed  Google Scholar 

  6. Howard BV, Magee MF. Diabetes and cardiovascular disease. Curr Atheroscler Rep. 2000;2(6):476–81.

    CAS  PubMed  Google Scholar 

  7. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33(S1):S62–9.

    PubMed Central  Google Scholar 

  8. Falorni A, Kockum I, Sanjeevi CB, Lernmark A. Pathogenesis of insulin-dependent diabetes mellitus. Baillieres Clin Endocrinol Metab. 1995;9(1):25–46.

    CAS  PubMed  Google Scholar 

  9. Schutt M, Fach EM, Seufert J, Kerner W, Lang W, Zeyfang A, et al. Multiple complications and frequent severe hypoglycaemia in ‘elderly’ and ‘old’ patients with Type 1 diabetes. Diabet Med. 2012;29(8):e176–9. PubMed PMID: 22506989. Epub 2012/04/18. eng.

    CAS  PubMed  Google Scholar 

  10. Group TESS. Vitamin D supplement in early childhood and risk for Type 1 (insulin-dependent) diabetes mellitus. Diabetologia. 1999;42:51–4.

    Google Scholar 

  11. Chiu K, Chu A, Go VL, Saad MF. Hypovitaminosis D is associated with insulin resistance and beta cell dysfunction. Am J Clin Nutr. 2004;79(5):820–5.

    CAS  PubMed  Google Scholar 

  12. Borges M, Martini LA, Rogero MM. Current perspectives on vitamin D, immune system, and chronic diseases. Nutrition. 2011;27(4):399–404.

    CAS  PubMed  Google Scholar 

  13. Van Etten E, Mathieu C. Immunoregulation by 1,25-dihydroxyvitamin D3: basic concepts. J Steroid Biochem Mol Biol. 2005;97(1–2):93–101.

    PubMed  Google Scholar 

  14. Van Belle TL, Gysemans C, Mathieu C. Vitamin D and diabetes: the odd couple. Trends Endocrinol Metab. 2013;24(11):561–8.

    PubMed  Google Scholar 

  15. Morley J. An overview of diabetes mellitus in older persons. Clin Geriatr Med. 1999;15(2):211–24.

    CAS  PubMed  Google Scholar 

  16. Morley JE. Diabetes, sarcopenia, and frailty. Clin Geriatr Med. 2008;24(3):455–69.

    PubMed  Google Scholar 

  17. Amati F, Dube JJ, Coen PM, Stefanovic-Racic M, Toledo FG, Goodpaster BH. Physical inactivity and obesity underlie the insulin resistance of aging. Diabetes Care. 2009;32(8):1547–9. PubMed PMID: 19401446. Pubmed Central PMCID: PMC2713647. Epub 2009/04/30. eng.

    PubMed Central  PubMed  Google Scholar 

  18. Elahi D, Muller DC. Carbohydrate metabolism in the elderly. Eur J Clin Nutr. 2000;54 Suppl 3:S112–20.

    CAS  PubMed  Google Scholar 

  19. Beaufrere B, Morio B. Fat and protein redistribution with aging: metabolic considerations. Eur J Clin Nutr. 2000;54 Suppl 3:S48–53.

    PubMed  Google Scholar 

  20. Chiu KC, Lee NP, Cohan P, Chuang LM. Beta cell function declines with age in glucose tolerant Caucasians. Clin Endocrinol (Oxf). 2000;53(5):569–75.

    CAS  Google Scholar 

  21. The diabetes control and complications trial research group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993;329(14):977–86.

    Google Scholar 

  22. Turner RC, Holman RR. Lessons from UK prospective diabetes study. Diabetes Res Clin Pract. 1995;28:S151–7.

    PubMed  Google Scholar 

  23. Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HA. 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008;359(15):1577–89. PubMed PMID: 18784090. Epub 2008/09/12. eng.

    CAS  PubMed  Google Scholar 

  24. ADVANCE Collaborative Group, Patel A, MacMahon S, Chalmers J, Neal B, Billot L, Woodward M, et al. Intensive blood glucose control and vascular aoutcomes in patients with type 2 diabetes. N Engl J Med. 2008;358:256–72.

    Google Scholar 

  25. Duckworth W, Abraira C, Moritz T, Reda D, Emanuele N, Reaven PD. VADT Intestigators. Glucose control and vascular complications in veterans with type 2 diabetes. N Engl J Med. 2009;360(2):129–39.

    CAS  PubMed  Google Scholar 

  26. Gerstein HC, Miller ME, Byington RP, Goff Jr DC, Bigger JT, Buse JB, et al. Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med. 2008;358:2545–59. PubMed PMID: 18539917. Epub 2008/06/10. eng.

    CAS  PubMed  Google Scholar 

  27. Skyler JS, Bergenstal R, Bonow RO, Buse J, Deedwania P, Gale EA, et al. Intensive glycemic control and the prevention of cardiovascular events: implications of the ACCORD, ADVANCE, and VA diabetes trials: a position statement of the American Diabetes Association and a Scientific Statement of the American College of Cardiology Foundation and the American Heart Association. J Am Coll Cardiol. 2009;53(3):298–304. PubMed PMID: 19147051. Epub 2009/01/17. eng.

    PubMed  Google Scholar 

  28. Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, et al. Management of hyperglycemia in type 2 diabetes: a patient-centered approach: position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care. 2012;35(6):1364–79. PubMed PMID: 22517736. Pubmed Central PMCID: PMC3357214. Epub 2012/04/21. eng.

    CAS  PubMed Central  PubMed  Google Scholar 

  29. Brown AF, Mangione CM, Saliba D, Sarkisian CA. Guidelines for improving the care of the older person with diabetes mellitus. J Am Geriatr Soc. 2003;51(5 suppl):S265–80.

    PubMed  Google Scholar 

  30. Cigolle CT, Blaum CS, Halter JB. Diabetes and cardiovascular disease prevention in older adults. Clin Geriatr Med. 2009;25(4):607–41. vii–viii. PubMed PMID: 19944264. Epub 2009/12/01. eng.

    PubMed  Google Scholar 

  31. Helmy T, Patel AD, Alameddine F, Wenger NK. Management strategies of dyslipidemia in the elderly: review. Med Gen Med. 2005;7(4):8.

    Google Scholar 

  32. Casagrande SS, Ríos Burrows N, Geiss LS, Bainbridge KE, Fradkin JE, Cowie CC. Diabetes knowledge and its relationship with achieving treatment recommendations in a national sample of people with type 2 diabetes. Diabetes Care. 2012;35(7):1556–65.

    Google Scholar 

  33. Garg A, Bonanome A, Grundy SM, Zhang ZJ, Unger RH. Comparison of a high-carbohydrate diet with a high-monosaturated fat diet in patients with non-insulin-dependent diabetes mellitus. N Engl J Med. 1988;319(13):829–34.

    CAS  PubMed  Google Scholar 

  34. Burge M, Castillo KR, Schade DS. Meal composition is a determinant of lispro-induced hypoglycemia in IDDM. Diabetes Care. 1997;20(2):152–5.

    CAS  PubMed  Google Scholar 

  35. Chiu CJ, Wray LA. Factors predicting glycemic control in middle-aged and older adults with type 2 diabetes. Prev Chronic Dis. 2010;7(1):A08. PubMed PMID: 20040223. Pubmed Central PMCID: PMC2811503. Epub 2009/12/31. eng.

    PubMed Central  PubMed  Google Scholar 

  36. Sheard NF, Clark NG, Brand-Miller JC, Franz MJ, Pi-Sunyer FX, Mayer-Davis E, Kulkarni K, Geil P. Dietary carbohydrate (amount and type) in the prevention and management of diabetes: a statement by the American Diabetes Association. Diabetes Care. 2004;27(9):2266–71.

    CAS  PubMed  Google Scholar 

  37. Mooradian AD, Osterweil D, Petrawek D, Morley JE. Diabetes mellitus in elderly nursing home patients. J Am Geriatric Soc. 1988;36:391–6.

    CAS  Google Scholar 

  38. Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T, et al. Frequency of malnutrition in older adults: a multinational perspective using the mini nutritional assessment. J Am Geriatr Soc. 2010;58(9):1734–8. PubMed PMID: 20863332. Epub 2010/09/25. eng.

    PubMed  Google Scholar 

  39. Bochicchio GV, Salzano L, Joshi M, Bochicchio K, Scalea TM. Admission preoperative glucose is predictive of morbidity and mortality in trauma patients who require immediate operative intervention. Am Surg. 2005;71(2):171–4. PubMed PMID: 16022019.

    PubMed  Google Scholar 

  40. Capes SE, Hunt D, Malmberg K, Gerstein HC. Stress hyperglycaemia and increased risk of death after myocardial infarction in patients with and without diabetes: a systematic overview. Lancet. 2000;355(9206):773–8. PubMed PMID: 10711923.

    CAS  PubMed  Google Scholar 

  41. Capes SE, Hunt D, Malmberg K, Pathak P, Gerstein HC. Stress hyperglycemia and prognosis of stroke in nondiabetic and diabetic patients: a systematic overview. Stroke. 2001;32(10):2426–32. PubMed PMID: 11588337.

    CAS  PubMed  Google Scholar 

  42. Krinsley JS. Association between hyperglycemia and increased hospital mortality in a heterogeneous population of critically ill patients. Mayo Clin Proc. 2003;78(12):1471–8.

    PubMed  Google Scholar 

  43. Pomposelli JJ, Baxter 3rd JK, Babineau TJ, Pomfret EA, Driscoll DF, Forse RA, et al. Early postoperative glucose control predicts nosocomial infection rate in diabetic patients. JPEN J Parenter Enteral Nutr. 1998;22(2):77–81. PubMed PMID: 9527963.

    CAS  PubMed  Google Scholar 

  44. Umpierrez GE, Isaacs SD, Bazargan N, You X, Thaler LM, Kitabchi AE. Hyperglycemia: an independent marker of in-hospital mortality in patients with undiagnosed diabetes. J Clin Endocrinol Metab. 2002;87(3):978–82. PubMed PMID: 11889147.

    CAS  PubMed  Google Scholar 

  45. Rodbard HW, Jellinger PS, Davidson JA, Einhorn D, Garber AJ, Grunberger G, et al. Statement by an American Association of Clinical Endocrinologists/American College of Endocrinology consensus panel on type 2 diabetes mellitus: an algorithm for glycemic control. Endocr Pract. 2009;15(6):540–59. PubMed PMID: 19858063. Epub 2009/10/28. eng.

    PubMed  Google Scholar 

  46. van den Berghe G, Wouters P, Weekers F, Verwaest C, Bruyninckx F, Schetz M, et al. Intensive insulin therapy in critically ill patients. N Engl J Med. 2001;345(19):1359–67. PubMed PMID: 11794168.

    PubMed  Google Scholar 

  47. Investigators N-SS, Finfer S, Chittock DR, Su SY, Blair D, Foster D, et al. Intensive versus conventional glucose control in critically ill patients. N Engl J Med. 2009;360(13):1283–97. PubMed PMID: 19318384.

    Google Scholar 

  48. Kansagara D, Fu R, Freeman M, Wolf F, Helfand M. Intensive insulin therapy in hospitalized patients: a systematic review. Ann Intern Med. 2011;154(4):268–82. PubMed PMID: 21320942.

    PubMed  Google Scholar 

  49. Qaseem A, Chou R, Humphrey LL, Shekelle P, Clinical Guidelines Committee of the American College of Physicians. inpatient glycemic control: best practice advice from the Clinical Guidelines Committee of the American College of Physicians. Am J Med Quality. 2013;29:95–8. PubMed PMID: 23709472.

    Google Scholar 

  50. American Diabetes Association. Standards of medical care in diabetes: 2013. Diabetes Care. 2013;36 Suppl 1:S11–66. PubMed PMID: 23264422. Pubmed Central PMCID: 3537269.

    PubMed Central  Google Scholar 

  51. Swift CS, Boucher JL. Nutrition therapy for the hospitalized patient with diabetes. Endocr Pract. 2006;12 Suppl 3:61–7.

    PubMed  Google Scholar 

  52. Boucher JL, Swift CS, Franz MJ, Kulkarni K, Schafer RG, Pritchett E, Clark NG. Inpatient management of diabetes and hyperglycemia: implications for nutrition practice and the food and nutrition professional. J Am Diet Assoc. 2007;107(1):105–11.

    PubMed  Google Scholar 

  53. Gosmanov AR, Umpierrez GE. Medical nutrition therapy in hospitalized patients with diabetes. Curr Diab Rep. 2012;12(1):93–100. PubMed PMID: 21997598. Pubmed Central PMCID: 3746498.

    CAS  PubMed Central  PubMed  Google Scholar 

  54. American Diabetes Association. Diabetes nutrition recommendations for health care institutions (position statement). Diabetes Care. 2004;27 Suppl 1:S55–7.

    Google Scholar 

  55. Wright J. Total parenteral nutrition and enteral nutrition in diabetes. Curr Opin Clin Nutr Metab Care. 2000;3:5–10.

    CAS  PubMed  Google Scholar 

  56. Garg A. High-MUFA diets for patients with DM: a meta-analysis. Am J Clin Nutr. 1998;67 Suppl 3:577S–82.

    CAS  PubMed  Google Scholar 

  57. Hongsermeier T, Bistrian BR. Evaluation of a practical technique of determining insulin requirements in diabetic patients receiving total parenteral nutrition. J Parenter Enter Nutr. 1993;17:16–9.

    CAS  Google Scholar 

  58. Morley JE. Nutritional status of the elderly. Am J Med. 1986;81:679–95.

    CAS  PubMed  Google Scholar 

  59. Coulston AM, Mandelbaum D, Reaven GM. Dietary management of nursing home residents with non-insulin-dependent diabetes mellitus. Am J Clin Nutr. 1990;51:67–71.

    CAS  PubMed  Google Scholar 

  60. Tariq SH, Karcic E, Thomas DR, Thomson K, Philpot C, Chapel DL, Morley JE. The use of a no-concentrated-sweets diet in the management of type 2 diabetes in nursing homes. J Am Diet Assoc. 2001;101:1463–6.

    CAS  PubMed  Google Scholar 

  61. Grundy SM, Cleeman JI, Merz CN, Brewer Jr HB, Clark LT, Hunninghake DB, et al. Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation. 2004;110(2):227–39. PubMed PMID: 15249516. Epub 2004/07/14. eng.

    PubMed  Google Scholar 

  62. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA. 2001;285:2486–97.

    Google Scholar 

  63. Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA. 2002;287:356–9.

    PubMed  Google Scholar 

  64. Stern MP, Williams K, Gonzalez-Villalpando C, Hunt KJ, Haffner SM. Does the metabolic syndrome improve identification of individuals at risk of type 2 diabetes and/or cardiovascular disease? Diabetes Care. 2004;27:2676–81.

    PubMed  Google Scholar 

  65. Lorenzo C, Okoloise M, Williams K, Stern MP, Haffner SM. The metabolic syndrome as predictor of type 2 diabetes: the San Antonio Heart Study. Diabetes Care. 2003;26:3153–9.

    PubMed  Google Scholar 

  66. Wang J, Ruotsalainen S, Moilanen L, Lepisto P, Laakso M, Kuusisto J. The metabolic syndrome predicts cardiovascular mortality: a 13-year follow-up study in elderly non-diabetic Finns. Eur Heart J. 2007;28(7):857–64. PubMed PMID: 17303589. Epub 2007/02/17. eng.

    PubMed  Google Scholar 

  67. Mozaffarian D, Kamineni A, Prineas RJ, Siscovick DS. Metabolic syndrome and mortality in older adults: the Cardiovascular Health Study. Arch Intern Med. 2008;168(9):969–78. PubMed PMID: 18474761. Epub 2008/05/14. eng.

    PubMed  Google Scholar 

  68. Crandall J, Schade D, Ma Y, Fujimoto WY, Barrett-Conner E, Fowlder S, Dagogo-Jack S, Andres R, Diabetes Prevention Program Research Group. The influence of age on the effects of lifestyle modification and metformin in prevention of diabetes. J Gerontol. 2006;61A(10):1075–81.

    Google Scholar 

  69. Diabetes Control and Complications Trial Research Group. Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: diabetes control and complications trial. J Pediatr. 1994;125(2):177–88. PubMed PMID: 8040759.

    Google Scholar 

  70. Janssen MM, Snoek FJ, de Jongh RT, Casteleijn S, Deville W, Heine RJ. Biological and behavioural determinants of the frequency of mild, biochemical hypoglycaemia in patients with type 1 diabetes on multiple injection therapy. Diabetes Metab Res Rev. 2000;16(3):157–63.

    CAS  PubMed  Google Scholar 

  71. Meeking DR, Cavan DA. Alcohol ingestion and glycemic control in patients with insulin-dependent diabetes mellitus. Diabet Med. 1997;14(4):279–83.

    CAS  PubMed  Google Scholar 

  72. Bolli GB. How to ameliorate the problem of hypoglycemia in intensive as well as nonintensive treatment of type 1 diabetes. Diabetes Care. 1999;22 Suppl 2:B43–52.

    PubMed  Google Scholar 

  73. Cox DJ, Kovatchev B, Koev D, Koeva L, Dachev S, Tcharaktchiev D, et al. Hypoglycemia anticipation, awareness and treatment training (HAATT) reduces occurrence of severe hypoglycemia among adults with type 1 diabetes mellitus. Int J Behav Med. 2004;11(4):212–8. PubMed PMID: 15657021. Epub 2005/01/20. eng.

    PubMed  Google Scholar 

  74. Bainbridge KE, Hoffman HJ, Cowie CC. Risk factors for hearing impairment among U.S. adults with diabetes: National Health and Nutrition Examination Survey 1999–2004. Diabetes Care. 2011;34(7):1540–5.

    PubMed Central  PubMed  Google Scholar 

  75. Educators AAoD. AADE guidelines for the practice of diabetes self-management education 2011 November 28 2012. Available from: http://www.diabeteseducator.org/export/sites/aade/_resources/pdf/general/PracticeGuidelines2011.pdf.

  76. Suhl E, Bonsignore P. Diabetes self-management education for older adults: general principles and practical application. Diab Spectr. 2006;19(4):234–40.

    Google Scholar 

  77. Bouchard DR, Langlois MF, Domingue ME, Brown C, LeBrun V, Baillargeon JP. Age differences in expectations and readiness regarding lifestyle modifications in individuals at high risk of diabetes. Arch Phys Med Rehabil. 2012;93(6):1059–64. PubMed PMID: 22475056. Epub 2012/04/06. eng.

    PubMed  Google Scholar 

  78. Horwath CC, Worsley A. Dietary habits of elderly persons with diabetes. J Am Diet Assoc. 1991;91(5):553–7.

    CAS  PubMed  Google Scholar 

  79. Hemphill RC, Stephens MA, Rook KS, Franks MM, Salem JK. Older adults’ beliefs about the timeline of type 2 diabetes and adherence to dietary regimens. Psychol Health. 2012;17. PubMed PMID: 22594631. Pubmed Central PMCID: PMC3447991. Epub 2012/05/19. Eng.

    Google Scholar 

  80. Cross AT, Babicz D, Cushman LF. Snacking habits of senior Americans. J Nutr Elder. 1995;14(2–3):27–38.

    CAS  PubMed  Google Scholar 

  81. Navas-Carretero S, Abete I, Zulet MA, Martinez JA. Chronologically scheduled snacking with high-protein products within the habitual diet in type-2 diabetes patients leads to a fat mass loss: a longitudinal study. Nutr J. 2011;10:74. PubMed PMID: 21756320. Pubmed Central PMCID: PMC3155966. Epub 2011/07/16. eng.

    CAS  PubMed Central  PubMed  Google Scholar 

  82. Kimura Y, Wada T, Okumiya K, Ishimoto Y, Fukutomi E, Kasahara Y, et al. Eating alone among community-Dwelling Japanese elderly: association with depression and food diversity. J Nutr Health Aging. 2012;16(8):728–31. PubMed PMID: 23076516. Epub 2012/10/19. eng.

    CAS  PubMed  Google Scholar 

  83. Locher JL, Ritchie CS, Robinson CO, Roth DL, Smith West D, Burgio KL. A multidimensional approach to understanding under-eating in homebound older adults: the importance of social factors. Gerontologist. 2008;48(2):223–34. PubMed PMID: 18483434. Pubmed Central PMCID: PMC2756416. Epub 2008/05/17. eng.

    PubMed Central  PubMed  Google Scholar 

  84. Lustman PJ, Penckofer SM, Clouse RE. Recent advances in understanding depression in adults with diabetes. Curr Diab Rep. 2007;4:114–22.

    Google Scholar 

  85. Katon W, Russo J, Lin EH, Heckbert SR, Ciechanowski P, Ludman EJ, et al. Depression and diabetes: factors associated with major depression at five-year follow-up. Psychosomatics. 2009;50(6):570–9. PubMed PMID: 19996227. Pubmed Central PMCID: PMC3087499. Epub 2009/12/10. eng.

    PubMed Central  PubMed  Google Scholar 

  86. Katon WJ, Lin EH, Williams LH, Ciechanowski P, Heckbert SR, Ludman E, et al. Comorbid depression is associated with an increased risk of dementia diagnosis in patients with diabetes: a prospective cohort study. J Gen Intern Med. 2010;25(5):423–9. PubMed PMID: 20108126. Pubmed Central PMCID: PMC2855007. Epub 2010/01/29. eng.

    PubMed Central  PubMed  Google Scholar 

  87. Black SA, Markides KS. Depressive symptoms and mortality in older Mexican Americans. Ann Epidemiol. 1999;9:45–52.

    CAS  PubMed  Google Scholar 

  88. Polonsky WH, Dudl RJ, Peterson M, Steffian G, Lees J, Hokai H. Depression in type 2 diabetes: Links to health care utilization, self-care and medical markers. Diabetes. 2000;49 Suppl 1:A64.

    Google Scholar 

  89. Zhang X, Norris SL, Gregg EW, Beckles G. Social support and mortality among older persons with diabetes. Diabetes Educ. 2007;33(2):273–81.

    PubMed  Google Scholar 

  90. Arcury TA, Grzywacz JG, Ip EH, Saldana S, Nguyen HT, Bell RA, et al. Social integration and diabetes management among rural older adults. J Aging Health. 2012;24(6):899–922. PubMed PMID: 22764154. Epub 2012/07/06. eng.

    PubMed Central  PubMed  Google Scholar 

  91. Kaplan RM, Hartwell SL. Differential effects of social support and social network on physiological and social outcomes in men and women with type II diabetes mellitus. Health Psychol. 1987;6:387–98.

    CAS  PubMed  Google Scholar 

  92. Stephens MA, Franks MM, Rook KS, Iida M, Hemphill RC, Salem JK. Spouses’ attempts to regulate day-to-day dietary adherence among patients with type 2 diabetes. Health Psychol. 2012;32:1029–37. PubMed PMID: 23025302. Epub 2012/10/03. Eng.

    PubMed  Google Scholar 

  93. Weidner G, Healy AB, Matarazzo JD. Family consumption of low fat foods: stated preference versus actual consumption. J Appl Social Psychol. 1985;15:773–9.

    Google Scholar 

  94. Franks MM, Hemphill RC, Seidel AJ, Stephens MA, Rook KS, Salem JK. Setbacks in diet adherence and emotional distress: a study of older patients with type 2 diabetes and their spouses. Aging Ment Health. 2012;16(7):902–10. PubMed PMID: 22533446. Pubmed Central PMCID: PMC3416920. Epub 2012/04/27. eng.

    PubMed Central  PubMed  Google Scholar 

  95. Samuel-Hodge CD, Headen SW, Skelly AH, Ingram AF, Keyserling TC, Jackson EJ, Ammerman AS, Elasy TA. Influences on day to day self-management of type 2 diabetes among African American women: spirituality, the multi-caregiver role, and other social context factors. Diabetes Care. 2000;23(7):928–33.

    CAS  PubMed  Google Scholar 

  96. Brownson CA, Lovegreen SL, Fisher EB. Community and society support for diabetes self-management. In: Mensing C, editor. The art and science of diabetes self-management education: a desk reference for healthcare professionals. Chicago: American Association of Diabetes Educators; 2006.

    Google Scholar 

  97. Lu FP, Lin KP, Kuo HK. Diabetes and the risk of multi-system aging phenotypes: a systematic review and meta-analysis. PLoS One. 2009;4(1):e4144. PubMed PMID: 19127292. Pubmed Central PMCID: PMC2607544. Epub 2009/01/08. eng.

    PubMed Central  PubMed  Google Scholar 

  98. Crane P, Walker R, Hubbard RA, Li G, Nathan DM, Zheng H, et al. Glucose levels and risk of dementia. N Engl J Med. 2013;369(6):540–8.

    CAS  PubMed Central  PubMed  Google Scholar 

  99. Launer L, Miller ME, Williamson JD, Lazar RM, Gerstein HC, Murray AM, ACCORD-MIND Investigators, et al. Effects of intensive glucose lowering on brain structure and function in people with type 2 diabetes (ACCORD MIND): a randomized open-label substudy. Lancet Neurol. 2011;10:969–77.

    PubMed Central  PubMed  Google Scholar 

  100. Punthakee Z, Miller ME, Launer LK, Williamson JD, Lazar RM, Cukierman-Yaffee T, ACCORD Group of Investigators, ACCORD-MIND Investigators, et al. Poor cognitive function and risk of severe hypoglycemia in type 2 diabetes: post hoc epidemiologic analysis of the ACCORD trial. Diabetes Care. 2012;35:787–93.

    PubMed Central  PubMed  Google Scholar 

  101. Yaffe K, Falvey CM, Hamilton N, Harris TB, Simonsick EM, Strotmeyer ES, Health ABC Study, et al. Association between hypglycemia and dementia in a biracial cohort of older adults with diabetes mellitus. JAMA Intern Med. 2013;173(14):1300–6.

    PubMed Central  PubMed  Google Scholar 

  102. Whitmer RA, Karter AJ, Yaffe K, Quesenberry Jr CP, Selby JV. Hypoglycemic episodes and risk of dementia in older patients with type 2 diabetes mellitus. JAMA. 2009;301(15):1565–72. PubMed PMID: 19366776. Pubmed Central PMCID: PMC2782622. Epub 2009/04/16. eng.

    CAS  PubMed Central  PubMed  Google Scholar 

  103. Hewitt J, Smeeth L, Chaturvedi N, Bulpitt CJ, Fletcher AE. Self management and patient understanding of diabetes in the older person. Diabet Med. 2011;28(1):117–22. PubMed PMID: 21166853. Epub 2010/12/21. eng.

    CAS  PubMed Central  PubMed  Google Scholar 

  104. Hampson SE, Glasgow RE, Foster LS. Personal models of diabetes among older adults: Relationship to self-management and other variables. Diabetes Educ. 1995;21(4):300–7.

    CAS  PubMed  Google Scholar 

  105. Huang ES, Gorawara-Bhat R, Chin MH. Self-reported goals of older patients with type 2 diabetes. J Am Geriatr Soc. 2005;53:306–11.

    PubMed Central  PubMed  Google Scholar 

  106. Jack Jr L, Airhihenbuwa CO, Namageyo-Funa A, Owens MD, Vinicor F. The psychosocial aspects of diabetes care. Geriatrics. 2004;59(5):26–32.

    PubMed  Google Scholar 

  107. White SL, Maloney SK. Promoting healthy diets and active lives to hard-to-reach groups: market research study. Public Health Rep. 1990;105(3):224–31.

    CAS  PubMed Central  PubMed  Google Scholar 

  108. Alcozer F. Secondary analysis of perceptions and meanings of type 2 diabetes among Mexican American women. Diabetes Educ. 2000;26(5):785–95.

    CAS  PubMed  Google Scholar 

  109. Schoenberg NE, Traywick LS, Jacobs-Lawson J, Kart CS. Diabetes self-care among a multiethnic sample of older adults. J Cross Cult Gerontol. 2008;23(4):361–76. PubMed PMID: 18369715. Pubmed Central PMCID: PMC3079270. Epub 2008/03/29. eng.

    PubMed Central  PubMed  Google Scholar 

  110. Wing RR, Goldstein MG, Acton KJ, Birch LL, Jakicic JM, Sallis Jr JF, Smith-West D, et al. Behavioral science research in diabetes: lifestyle changes related to obesity, eating behavior, and physical activity. Diabetes Care. 2001;24(1):1–2.

    Google Scholar 

  111. Mason C, Foster-Schubert KE, Imayama I, Kong A, Xiao L, Bain C, et al. Dietary weight loss and exercise effects on insulin resistance in postmenopausal women. Am J Prev Med. 2011;41(4):366–75. PubMed PMID: 21961463. Pubmed Central PMCID: PMC3185302. Epub 2011/10/04. eng.

    PubMed Central  PubMed  Google Scholar 

  112. Group TLAR. Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes. Diabetes Care. 2007;30(6):1374–83.

    Google Scholar 

  113. Wadden TA, Neiberg RH, Wing RR, Clark JM, Delahanty LM, Hill JO, et al. Four-year weight losses in the Look AHEAD study: factors associated with long-term success. Obesity (Silver Spring). 2011;19(10):1987–98. PubMed PMID: 21779086. Pubmed Central PMCID: PMC3183129. Epub 2011/07/23. eng.

    PubMed Central  Google Scholar 

  114. Program NDEP. Small Steps. Big Rewards. Your GAME PLAN to prevent type 2 diabetes: information for patients. Bethesda, MD: National Diabetes Education Program; 2006.

    Google Scholar 

  115. Clark B. Older, sicker, smarter, and redefining quality: the older consumer’s quest for service. In: Dychtwald K, editor. Healthy aging challenges and solutions. Gaithersburg, MD: Aspen Publishers, Inc.; 1999.

    Google Scholar 

  116. Aalbers T, Baars MA, Rikkert MG. Characteristics of effective Internet-mediated interventions to change lifestyle in people aged 50 and older: a systematic review. Ageing Res Rev. 2011;10(4):487–97. PubMed PMID: 21628005. Epub 2011/06/02. eng.

    CAS  PubMed  Google Scholar 

  117. Kanaya AM, Santoyo-Olsson J, Gregorich S, Grossman M, Moore T, Stewart AL. The live well, be well study: a community-based, translational lifestyle program to lower diabetes risk factors in ethnic minority and lower-socioeconomic status adults. Am J Public Health. 2012;102(8):1551–8. PubMed PMID: 22698027. Pubmed Central PMCID: PMC3395772. Epub 2012/06/16. eng.

    PubMed Central  PubMed  Google Scholar 

  118. van den Berg N, Schumann M, Kraft K, Hoffmann W. Telemedicine and telecare for older patients: a systematic review. Maturitas. 2012;73(2):94–114. PubMed PMID: 22809497. Epub 2012/07/20. eng.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Psychological and Brain Sciences, University of Louisville, 317 Life Sciences Building, Louisville, KY, 40292, USA

    Barbara Stetson Ph.D. & Holly M. Knight B.A.

  2. Division of Endocrinology and Metabolism, University of Louisville, 530 S Jackson Street, Louisville, KY, 40292, USA

    Sri Prakash L. Mokshagundam M.D.

Authors
  1. Barbara Stetson Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Holly M. Knight B.A.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sri Prakash L. Mokshagundam M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Barbara Stetson Ph.D. .

Editor information

Editors and Affiliations

  1. Geriatric Research, Education, and Clinical Center, Department of Medicine, Durham VA Medical Center, Duke University Medical Center, Durham, North Carolina, USA

    Connie Watkins Bales

  2. Departments of Medicine and Health Care Organization and Policy Translational Nutrition and Aging Program, University of Alabama at Birmingham, Birmingham, Alabama, USA

    Julie L. Locher

  3. Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, Massachusetts, USA

    Edward Saltzman

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Stetson, B., Knight, H.M., Mokshagundam, S.P.L. (2015). Nutrition and Lifestyle Change in Older Adults with Diabetes Mellitus and Metabolic Syndrome. In: Bales, C., Locher, J., Saltzman, E. (eds) Handbook of Clinical Nutrition and Aging. Nutrition and Health. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1929-1_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1929-1_11

  • Published:

  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-1928-4

  • Online ISBN: 978-1-4939-1929-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation