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One of the urgent tasks of modern medicine associated with the progressive aging of the population is the formation of a strategy for managing elderly patients with type 2 diabetes mellitus (T2DM), including an interdisciplinary approach taking into account a comprehensive geriatric assessment, optimization of glycemic control, personalized pharmacological therapy and diet therapy. The pathogenesis of T2DM, frailty (FA) and cognitive dysfunction are closely interrelated in the context of aging. Insulin resistance, atherosclerosis, chronic inflammation, oxidative stress and mitochondrial dysfunction are integrally involved in the mechanism of development of pathogenetic links of FA, cognitive impairment and T2DM. Dietary recommendations aimed at adequate intake of macro-/micronutrients help prevent or slow down the development of age-associated diseases, help improve the quality and increase life expectancy in elderly people with T2DM. This literature review analyzes current data on the importance of proper nutrition for glycemic control, prevention of SA, sarcopenia and dementia in elderly patients with type 2 diabetes.
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Александровна et al. (2025) studied this question.
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