Type 2 diabetes in older adults

There’s a higher-than-expected prevalence of eating disorders in older adults, which leads us into the topic of this week’s column: the continued growth of type 2 diabetes among older adults.

The general population is aging, and the over-60 population is continuing to grow beyond current birth rates. The Endocrine Society (www.endocrine.org) estimates that a third of adults aged 65 or older has diabetes. It’s a number that’s expected to rise significantly in the decades to come, especially when considering that not all those with diabetes know they have it. Maybe they say they feel “fine for their age”; a little fatigued here and there; their feet are sometimes puffy and sore; their eyesight occasionally goes fuzzy.

With diabetes, there’s often no obvious red-flag indicator that something’s very wrong until serious complications arise. This is why annual screenings for diabetes are so important for older adults. The screenings make it more likely that diabetes can be addressed through diet, exercise and medication while an individual is otherwise asymptomatic.

Preventing and reducing the risk of diabetes complications is well-understood:

• Keep your blood sugar and hemoglobin A1C within recommended range;

• Keep blood pressure and cholesterol under control;

• Stay physically active, especially with exercises that can be incorporated into daily routines;

• Quit smoking, and consume alcohol only in moderation as per a doctor’s recommendation.

Still goals for older adults with diabetes will differ and change over time. Older adults often have complex healthcare needs that will require a trained eye to monitor.

It’s important to talk openly with healthcare providers, to aim for the best possible outcomes and prevent complications. Assessments specific to diabetes treatment can include eye exams to detect signs of diabetic retinopathy; kidney screening (nephropathy); nerve damage (neuropathy); mental health and cognitive impairment screenings; body mass index (BMI) measurements; bone mineral density; measurements of functional status and activities of daily living (ADLs); and self-management and training.

The Office for the Aging (OFA) can have a role to play in diabetes care, through OFA’s nutrition services division (www.dutchessny.gov/OFAnutrition), the multifaceted OFA exercise program (www.dutchessny.gov/seniorexercise) and OFA’s “A Matter of Balance” classes. There are OFA exercise classes available throughout Dutchess County, and we’re always looking for volunteer class leaders. We provide the training.

You can find printable participant and volunteer leader applications for our classes on the website. The next “A Matter of Balance” classes begin this fall.

Not online? You can reach out to OFA at 845-486-2555.

In the meantime, remember that any kind of physical activity is good for you, and any level of exercise is better than none. It’s never too late to start!

 

Golden Living is prepared by Dutchess County OFA Director Todd N. Tancredi, who can be reached at 845-486-2555, ofa@dutchessny.gov or via the OFA website at www.dutchessny.gov/aging.

The views expressed here are not necessarily those of The Millerton News and The News does not support or oppose candidates for public office.

Latest News

Hunting for eggs

Hunting for eggs

The annual Millerton Fire Company Easter egg hunt returned to Eddie Collins Memorial Park on Saturday, April 4.

Nathan Miller


Tyler Dehoff discovers a piece of chocolate in a plastic egg at the zero to two-year-old egg hunt area.Nathan Miller

Keep ReadingShow less
North East mourns Highway Superintendent after sudden death

Bob Stevens, right, enjoys the swinging sounds of country and western music during a trip to Nashville, Tennessee, with his son, Robert Stevens Jr., not pictured.

Photo provided

MILLERTON — North East Highway Superintendent Bob Stevens died Monday, March 30, after 20 years in the role and nearly four decades with the town’s road crew.

The sudden death shocked road crew members and town officials, who said they had been speaking with the 63-year-old Millerton native the day he died and he hadn’t shown signs of illness. Town officials said a search for a replacement will start as soon as possible.

Keep ReadingShow less
Connecticut kratom ban drives cross-border demand in New York

Packets of Blue Razz botanical extracts in pill form are among herbal remedies offered as an alternative to kratom at The Smoking Ape in North Canaan and Torrington.

Photo by Debra A. Aleksinas

MILLERTON — A new Connecticut ban on kratom — a substance with opioid-like effects linked to dependence and withdrawal — is reshaping border behavior, with some residents crossing into New York to obtain it.

Derived from a Southeast Asian tree, kratom has been marketed across the country as a natural remedy for pain, anxiety and opioid withdrawal. But officials warn it can act like an opioid at higher doses, prompting Connecticut to classify it as a Schedule I controlled substance.

Keep ReadingShow less
google preferred source

Want more of our stories on Google? Click here to make us a Preferred Source.

Amenia board approves herbicide use at Troutbeck, awards painting contract
Amenia Town Hall on Route 22.
Photo by Nathan Miller

AMENIA — The Town Board approved two resolutions by unanimous vote at its Wednesday, April 1, meeting, including one authorizing herbicide use at Troutbeck’s spa and hotel facility.

The second resolution awarded a contract to paint the stage area in the Town Hall auditorium.

Keep ReadingShow less
Millerton’s expenses increase 15.8% over last year’s budget
The Millerton Village Offices on Route 22.
Photo by Aly Morrissey

MILLERTON — The Board of Trustees approved the coming year’s budget Monday, April 6, following no public comment.

The village’s expenses increased 15.8% over last year’s adopted budget. Board members attributed those increased costs to unavoidable spikes in health insurance rates and retirement payments.

Keep ReadingShow less
Repair cafés set for April 25 in Millerton, Millbrook
The NorthEast-Millerton Library Annex on Century Boulevard in the Village of Millerton.
Photo by Aly Morrissey

MILLERTON — The NorthEast-Millerton Library is set to host a free repair café on Saturday, April 25, in the library’s annex on Century Boulevard.

Fixers will offer free repairs for small electronics, clothing and textiles, and minor bicycle repairs among other things such as lamps and knife sharpening.

Keep ReadingShow less
google preferred source

Want more of our stories on Google? Click here to make us a Preferred Source.

google preferred source

Want more of our stories on Google? Click here to make us a Preferred Source.