Aging is inevitable. What you can change is your attitude about what aging means to you. Geriatric Care is defined as the medical care of older or elderly people. The scope of the care has changed to include not just the medical needs, but also the psychological and social needs of seniors. More than ever before, geriatric care encompasses a holistic approach to coping with aging and its effects.
There exist many therapeutic windows in the clinical area of Type 2 Diabetes. Traditional Medicines, including Ayurveda should be explored to identify safe and effective medicines for diabetes. DB14201 is an herbal formulation from Ayurvedic traditional knowledge and has been safely used by diabetics as a supplement drink for several years. Diabetics on hypoglycemic agents soon outgrow the effectiveness of an oral hypoglycemic agent and needs to add more of the same medicine or medicines with different mechanisms of action or insulin. A safe herbal add-on to oral hypoglycemics which can improve the efficacy of glycemic control and offer longer window of time for a specific dosage would greatly improve the current management of diabetes. The current study proves that DB14201 when used with glibenclamide as an add-on improves its efficacy in glycemic control as evidenced by comparatively lower fasting and post prandial blood sugar level in the study group as against the placebo group. The addition of DB14201 also helps in reduction of HbA1c levels by nearly 1% points over a period of 90 days.
Aging is inevitable. What you can change is your attitude about what aging means to you. Geriatric Care is defined as the medical care of older or elderly people. The scope of the care has changed to include not just the medical needs, but also the psychological and social needs of seniors. More than ever before, geriatric care encompasses a holistic approach to coping with aging and its effects
The role of HMG CoA Reductase inhibitors (Statins) in type 2 Diabetes Mellitus (DM) patients with hypercholesterolemia is undisputable. The ATP III guidelines suggests that diabetes should be considered as a CHD risk equivalent and it advocates that all patients with established CHD or diabetes should achieve a target goal of LDL - C < 100 mg/dl. Statins are considered as first-line drugs when LDL-lowering drugs are indicated to achieve LDL treatment goals. There is compelling evidence for the use of statin therapy for CHD risk reduction in such patients with diabetes based on large randomized control trials. The glycaemic status of patients on statin therapy is not a concern until recently. Evidence accrues that statin therapy impairs the glycaemic status. Although the causality is not well proven yet, it demands a focus because whether this is a class effect of all statins or limited to specific statins requires further clarifications. In this light, it becomes important to do a systematic review of the studies using statins and the effect on glycaemic status.
Vaccinations have been an underused modality of preventive medicine. As India heads towards becoming a developed nation, with the rise in life expectancy the mortality rates have declined. Currently the estimated geriatric population in India is 8%, by 2026 the estimated geriatric population is projected at 12.17%. So the focus is now on morbidity rates. Vaccination holds great potential in protecting the geriatric population from life threatening illness and also at the same time reduce the burden on the medical services. Immunosenescence is often a major burden in geriatrics making immunization of extreme importance. It is the most effective protection against many common life threatening diseases in the geriatric population. The greatest hurdle to providing vaccination programs in a developing country is incomplete patient education and financial limitations. Hence, medical societies around the world need to promote education of geriatric population of the benefits of vaccinations.
The problem of osteoporosis is more prevalent in rural India. The incidence of osteoporosis is more and management
of osteoporosis in rural setup is challenging and very much different from urban India. This talk highlights the problems faced by
orthopedic surgeons while treating patients with osteoporosis in rural India. The problems are multifocal and we need to have
solutions to them. The geriatric orthopedic problems are most of the time related with osteoporosis and managing the
osteoporosis in rural India is really a tough job.
The clinical spectrum of hypercalcaemia ranges from being asymptomatic to life threatening situations. Primary hyperparathyroidism is one of cause of hypercalcemia caused by excessive secretion of parathyroid hormone from one or more parathyroid glands. It results from an abnormally high level of serum calcium and an increased level of parathyroid hormone. We present a case of hypercalcaemia presenting as fatigue in an elderly female. So high level of suspicion is needed in evaluating elderly people.
Aging is inevitable. What you can change is your attitude about what aging means to you. Geriatric Care is defined as the medical care of older or elderly people. The scope of the care has changed to include not just the medical needs, but also the psychological and social needs of seniors. More than ever before, geriatric care encompasses a holistic approach to coping with aging and its effects
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