As the population of the United Kingdom (UK) continues to age, the prevalence of older people living with diabetes is steadily increasing. A significant proportion of individuals living with diabetes are over the age of 65. Therefore, it is important that healthcare professionals are suitably equipped with substantial knowledge and skills for providing compassionate, person-centred and evidence-based care, which recognises the complex challenges that older people face daily whilst managing their condition. 

Oftentimes, older adults with diabetes face various physiological and social challenges that can significantly impact upon their health outcomes. They may experience difficulties with glycaemic control due to factors such as decreased kidney function, frailty or cognitive impairment, which increases their vulnerability to complications such as hypoglycaemia. At the same time, social issues including loneliness or limited mobility can further exacerbate these issues. 

Given these multifaceted challenges, I believe it is important to note that a person-centred and holistic approach to care is paramount in providing the highest quality of care possible. It is not enough to focus solely on clinical indicators such as blood glucose levels and strict diet regimes for glycaemic control. Nurses should also consider the entire psychosocial impact of diabetes on the individual. For example, when establishing care plans, the person’s quality of life, personal goals and concerns should be considered to uphold their physical, mental and emotional wellbeing.  

From a physical health standpoint, there are key risk factors to assess such as frailty, nutrition and hydration. The presence of frailty in older people should prompt a careful review of treatment plans and medication regimes. This can be by simplifying treatment plans or avoiding complex insulin regimes, thereby ideally enhancing patient safety and medication adherence. 

Examples of other major areas of concern for older people with diabetes may include nutrition and hydration as they have additional dietary requirements, which can be further complicated by physical problems such as dental issues, a reduced appetite or difficulties with preparing meals. Nurses play a critical role in identifying and addressing these challenges early, collaborating with dieticians and other multidisciplinary team members to develop person-centred care plans that are tailored to the individual. This is facilitated by empowering the patient and their family in shared decision-making regarding their care needs and preferences. 

Equally important is supporting mental and emotional wellbeing. Depression and cognitive challenges are more common amongst older people with diabetes, which can adversely affect quality of life and the ability to self-manage. Regular supportive conversations, check-ups and timely referrals to mental health professionals are key actions that can make a meaningful difference. 

Ultimately, empowering older people with diabetes involves more than just medical treatment. Nurses should aim to equip them and their families with the knowledge, skills and confidence to take an active role in managing their condition. Through accessible, relevant and individually tailored education sessions, focusing on person-centred care and practical support, it is possible to improve health outcomes and enhance the quality of life for this growing population, whether in hospitals or from their home.