关注老年糖尿病患者的营养不良

Pay attention to malnutrition in elderly diabetic patients

老年糖尿病患者（特别是住院患者）发生营养不良的比例较高，却较易被忽视。老年糖尿病患者特殊的生理、社会因素，合并症及使用口服降糖药物等均可增加营养不良风险，从而使患者延长住院时间、提高危及生命并发症风险、增加死亡率。临床医生应强化对老年糖尿病患者的营养状况筛查，通过营养支持、减少有关口服降糖药物的应用、提倡应用胰岛素治疗等方式，制定个体化治疗方案，提高老年糖尿病人群的生活质量。

A higher proportion of malnutrition is found in the elderly with diabetes, especially in those hospitalized ones, but this phenomenon is easier to be ignored. For the elderly patients with diabetes mellitus, their special physiological status, social factors, comorbidities and taking oral hypoglycemic drugs, all increase the risk for malnutrition. Consequently, it can make patients extend the length of hospital stays, increase the risk for life-threatening complications, and then arise the mortality. So, clinicians should enhance the screening of nutritional status and emphasize the nutritional support in aged diabetes patients. What’s more, they also need to reduce the use of some oral hypoglycemic drugs, advocate the application of insulin therapy and set individualized treatment plan, so as to improve the quality of life in elderly diabetic population.