Here are five ways to better ensure your elderly loved ones are getting the best care possible at the end of their lives.
Dr. Hillary Lum was undecided about her medical specialty until her work in the geriatric track of her residency helped her decide she wanted to focus on caring for the elderly.
Caring for an elderly parent can tear apart sibling relationships, especially when the division of responsibilities is less than equitable.
The Archbishop of Westminster is to call for more help to be given to families caring for elderly relatives. Speaking at London’s Westminster Cathedral, the Most Reverend Vincent Nichols will ask for “special attention to be given to the sick and vulnerable”.
Elderly patients of the NHS regularly find themselves victims of medical negligence, a new report has revealed. According to a number of investigations carried out by the Health Service Ombudsman, ten patients suffered unnecessary pain, humiliation and …
Diabet Med. 2011 Mar; 28(3): 301-305
Nathanson D, Zethelius B, Berne C, Lind L, Andrén B, Ingelsson E, Holst JJ, Nyström T
Diabet. Med. 28, 301-305 (2011) ABSTRACT: Aims? Congestive heart failure is a major cause of morbidity and mortality in diabetes. Besides the glycaemic effects of glucagon-like peptide?1 (GLP-1) mimetics, their effects on the heart are of interest. Methods? We aimed to investigate longitudinal relationships between plasma levels of fasting GLP-1 (fGLP-1), 60-min oral glucose tolerance test-stimulated GLP-1 levels (60GLP-1), and the dynamic GLP-1 response after oral glucose tolerance test (?GLP-1?=?60GLP-1?-?fGLP-1) and incidence of hospitalized congestive heart failure, during a follow-up time of a maximum of 9.8?years in 71-year-old men. We also investigated, cross-sectionally, the association between GLP-1 and left ventricular function as estimated by echocardiography. Results? During the follow-up period, 16 of 290 participants with normal glucose tolerance experienced a congestive heart failure event (rate 0.7/100?person-years at risk), as did eight of 136 participants (rate 0.8/100?person-years at risk) with impaired glucose tolerance and nine of 72 participants (rate 1.7/100?person-years at risk) with Type?2 diabetes mellitus. Although GLP-1 concentrations did not predict congestive heart failure (fGLP-1: HR?0.98, 95%?CI?0.4-2.4; 60GLP-1: HR?1.1, 95%?CI?0.4-2.6; ?GLP-1: HR?0.9, 95%?CI?0.3-2.3), there was an association between left ventricular diastolic function (E/A ratio) and fGLP-1 (r?=?0.19, P?=?0.001), 60GLP-1 (r?=?0.20, P?<?0.001) and ?GLP-1 (r?=?0.18, P?=?0.004). There was a lack of differences in plasma levels of GLP-1 between the groups with Type?2 diabetes and normal glucose tolerance. Conclusions? There were no longitudinal associations between GLP-1 levels and incidence of hospitalization for congestive heart failure. However, without any causality proven, GLP-1 levels did correlate, cross-sectionally, with left ventricular diastolic function in this cohort, suggesting that pathways including GLP-1 might be involved in the regulation of cardiac diastolic function.
Caring for elderly relatives while raising kids and working can make people depressed, exhausted and isolated if they lack support, a Massey University health psychology researcher says.