Clinical guidelines for type 1 diabetes mellitus with an emphasis on older adults: an Executive Summary

A. J. Sinclair*, T. Dunning, K. Dhatariya, Wayne H.H. Sheu, Shih Yi Lin, Ahmed Hafiz, Graydon Meneilly, Medha Munshi, Giuseppe Paolisso, Raffaele Marfella, Leocadio Rodriguez Manas, Isaac Sinay, Sylvia Rosas, Srikanth Bellary, Noela M. Prasad, Richard Le Mesurier, Solomon Tesfaye, Michelle Robins, Michael Sampson,

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


We present a summary of a guideline produced by an international group of experts for managing type 1 diabetes in adults with an emphasis on the special needs of older people with this condition. The rationale for delivering high-quality diabetes care for adults with type 1 diabetes, why it is important to include older people in our considerations, and the key underpinning principles of the guideline are included. The structure of the recommendations given is described and consists of ‘general’ recommendations followed by ‘specific’ recommendations according to three categories depending on the characteristics of adults addressed, such as functional level or self-management ability. Recommendations are provided in the areas of: clinical diagnosis, establishing management plans and glucose regulation, diabetes self-management education, nutritional therapy, physical activity, exercise and lifestyle modification, insulin treatments and regimens, use of technology in diabetes management, hypoglycaemia, managing cardiovascular risk, management of microvascular risk, and inpatient management of type 1 diabetes and ketoacidosis.

Original languageEnglish
Pages (from-to)53-70
Number of pages18
JournalDiabetic medicine
Issue number1
Early online date9 Sept 2019
Publication statusPublished - 1 Jan 2020


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