Articles related to Geriatrics

Older adults with diabetes and frailty frequently experience overtreatment despite individualized glycemic goals that prioritize safety over intensive control. A narrative review highlights deprescribing strategies, relaxed glycemic targets, and medication adjustments intended to reduce hypoglycemia, falls, and treatment burden.

Two prospective cohorts found that metabolically unhealthy adults generally had higher dementia risk estimates regardless of obesity status. Metabolically healthy obesity was not associated with increased dementia risk in primary analyses, though findings varied across sensitivity analyses.

A large Veterans Health Administration study found that older adults with traumatic brain injury had elevated rates of several neurologic disorders both before and after injury. The findings support a bidirectional association between TBI and neurologic disease but do not establish causality.

Singer-songwriter Carly Simon described years of mobility limitations initially attributed to arthritis and joint replacement recovery before receiving a Parkinson’s disease diagnosis. Her experience highlights the diagnostic challenges created when evolving symptoms appear consistent with existing conditions.

An observational study associated repeated gabapentin prescribing with higher rates of dementia and mild cognitive impairment, particularly among adults aged 18 to 64 years. Experts emphasized that the findings do not establish causality and should be interpreted cautiously.

A nationwide surveillance study identified widespread community reservoirs of multidrug-resistant Klebsiella pneumoniae associated with recurrent urinary tract infections and antibiotic resistance.