Insulinización en adultos mayores con diabetes mellitus tipo 2

Abstract

Introduction: Insulinization is a treatment for patients with diabetes mellitus (DM). Especially in early ages and patients with type 1 DM. However, its use has also been tested in patients with type 2 DM, in any age group including older adults. Objective: To detail insulinization in older adults with type 2 diabetes mellitus. Methodology: A literature review was carried out based on the use of scientific articles as bibliographic sources. The search for these articles was carried out in digital platforms and databases exclusively of health areas: Springer link, Elsevier, PubmedCentral, among others. To refine the searches, keywords were used as descriptors in both English and Spanish. To improve the results, the search was supported with Boolean operators such as AND and OR. The PRISMA model was used for screening articles. Results: A total of 80 articles were reviewed within which 15 were useful for the results and discussion chapters. The main indications to start insulinization in older adults is failure to treat with oral antidiabetics, cardiovascular disease, kidney or liver disease, and in those hospitalized patients under medical supervision. Conclusions: The advantages of insulinization have to do with the ease of self-administration, even in advanced ages. Complications were more related to weight gain and hypoglycemia, as more important aspects. In general, the literature showed a tendency towards complications over the advantages of insulinization