n CME : Your SA Journal of CPD - Endocrine disorders in the elderly : main topic
|Article Title||Endocrine disorders in the elderly : main topic|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||CME : Your SA Journal of CPD|
|Author||B.H. Ascott-Evans and Tanya Kinvig|
|Publication Date||Nov 2004|
|Pages||623 - 628|
|Keyword(s)||Elderly, Endocrine disorders, Metabolic bone disease, Thyroid disorders and Type 2 diabetes mellitus|
In the elderly: <br>Common endocrine conditions (presenting to the GP) are more prevalent. <br>Thyroid dysfunction and type 2 diabetes mellitus often have subtle or unusual presentations and demand a low threshold for screening. <br>Goals of diabetic therapy need to be individualised; insulin is not contraindicated. <br>Hypoglycaemia in patients on diabetic therapy must be avoided. <br>Initiating thyroxine replacement: start low, go slow. <br>Prevalent fragility fracture is a better predictor than BMD for future osteoporotic fracture. <br>Hip and vertebral fractures are associated with a high morbidity and mortality. <br>HRT prevents osteoporotic fractures, but should only be used if there are significant menopausal symptoms, and then only in the short term. <br>BPs are the first-choice agents for reducing both spine and hip fracture rates. <br>A degree of OM commonly accompanies OP. <br>Most cases of Paget's disease are discovered incidentally and usually do not require specific therapy.
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