Chicago Health | Homepage
Studies suggest doctors should cut back on some medications in seniors

Studies suggest doctors should cut back on some medications in seniors

Source: University of Michigan Medical School

whatdoctorsknow.com

Anyone who takes medicine to get their blood sugar or blood pressure down — or both — knows their doctor prescribed it to help them.

But what if stopping, or at least cutting back on, such drugs could help even more?

In some older people, that may be the safer route. But two new studies published in JAMA Internal Medicine suggest doctors and patients should work together to backpedal such treatment more often.

In people in their 70s and older, very low blood pressures and sugar levels can actually raise the risk of dizzy spells, confusion, falls and even death. The consequences can be dangerous.

In recent years, experts have started to suggest that doctors ease up on how aggressively they treat such patients for high blood pressure or diabetes — especially if they have other conditions that limit their life expectancy.

Dialing back

To see if such efforts to encourage doctors to de-intensify treatment are working, a team of researchers from the University of Michigan Medical School and VA Ann Arbor Healthcare System studied the issue from two sides: patient records and a survey of primary care providers. They focused on patients over 70 with diabetes who had their blood sugar and pressure well under control using medication.

In all, only one in four of nearly 400,000 older patients who could have been eligible to ease up on their multiple blood pressure or blood sugar medicines actually had their dosage changed. Even those with the lowest readings, or the fewest years left to live, had only a slightly greater chance as other patients of having their treatment de-intensified.

Meanwhile, only about half of the nearly 600 doctors, nurse practitioners and physician assistants surveyed said they would de-intensify the treatment of a hypothetical 77-year-old man with diabetes and ultra-low sugar levels that put him at risk of a low-sugar crisis called hypoglycemia.

Many providers said they worried that decreasing medications for a patient like this might lead to harm, and that decreasing medications might make their clinical “report cards” look worse. Some even worried about their legal liability.

(WhatDoctorsKnow is a magazine devoted to up-to-the minute information on health issues from physicians, major hospitals and clinics, universities and health care agencies across the U.S. Online at www.whatdoctorsknow.com.)

(c) 2016 WHATDOCTORSKNOW.COM. DISTRIBUTED BY TRIBUNE CONTENT AGENCY, LLC.

Similar Articles

Count ingredients, not calories

Count ingredients, not calories

By Sharon Palmer, R.D.N. Shift your focus from the calories label to the ingredients label, and

Pneumonia a leading cause of hospitalization for children

Pneumonia a leading cause of hospitalization for children

What Doctors Know Source: U.S. Centers for Disease Control and Prevention Pneumonia puts thousands of young children

Cartilage repair, restoration becoming more common

Cartilage repair, restoration becoming more common

DEAR MAYO CLINIC: I recently heard about cartilage being used in knee joints. Last summer

Discovering need to treat high blood pressure may be too late

Discovering need to treat high blood pressure may be too late

Source: University of Alabama at Birmingham whatdoctorsknow.com Untreated high blood pressure, or hypertension, wreaks havoc on the

There is relief for side effects of iron supplements

There is relief for side effects of iron supplements

The Medicine Cabinet - Ask the Harvard Experts  By Howard LeWine, M.D. Q: I have anemia and

Articles By Category

Family Health

In The Know

CH Lifestyle

December 2016
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
November 27, 2016 November 28, 2016 November 29, 2016 November 30, 2016 December 1, 2016 December 2, 2016 December 3, 2016
December 4, 2016 December 5, 2016 December 6, 2016 December 7, 2016 December 8, 2016 December 9, 2016 December 10, 2016
December 11, 2016 December 12, 2016 December 13, 2016 December 14, 2016 December 15, 2016 December 16, 2016 December 17, 2016
December 18, 2016 December 19, 2016 December 20, 2016 December 21, 2016 December 22, 2016 December 23, 2016 December 24, 2016
December 25, 2016 December 26, 2016 December 27, 2016 December 28, 2016 December 29, 2016 December 30, 2016 December 31, 2016

Categories

Recent Comments

Swing for the fences in the fight to Sideline Pancreatic Cancer

Swing for the fences in the fight to Sideline Pancreatic Cancer

Enjoy a great night of baseball at Peoples Natural

VIEW ARTICLE
Cost to give birth 1943 - Page 3 - Defending The Truth Political Forum

Cost to give birth 1943 - Page 3 - Defending The Truth Political Forum

A Hazy Shade of Healthcare: What does tort reform

VIEW ARTICLE

Archives