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Ensuring older people across Europe have access to consistent and high-quality diabetes care


The European Diabetes Working Party for Older People (EDWPOP) was established in 2000 to ensure older people in Europe have consistent and high-quality diabetes care.
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Through high-quality international collaborative work, the working party aims to create a better quality of life and future for all older people with diabetes throughout the continent.
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To provide evidenced-based clinical guidelines, consensus statements and management strategies for older people with diabetes which lead to high-quality diabetes care.
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Current activity

THE EDWPOP is currently collaborating with the International Conference of Frailty and Sarcopenia Research, the Hong Kong Geriatrics Society, and an International Group of Experts to produce an International Position Statement on the Management of Frailty in Diabetes. The Chair of the EDWPOP, Professor Alan Sinclair, is working closely with Professor Bruno Vellas of the University of Toulouse along with eight other global experts in the field to develop clinical recommendations that clinicians can use to manage this rather vulnerable group of patients.

This Position Statement has been structured into main chapter headings dealing with expected areas such as assessment of frailty, hypoglycaemia, management of glucose levels, care home diabetes, and so on, but also includes less commonly addressed areas such as primary care, education, exercise interventions and influencing commissioners of diabetes services to include frailty care pathways. It is due to launched on the EDWPOP website in August 2017 followed by uploading onto many other international websites shortly afterwards. A Summary of Recommendations article (based on the Position Statement) will be submitted to the Journal of Frailty & Aging shortly.

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Research published by EDWPOP

  • The Clinical Guidelines provide an opportunity to summarise the interpretation of relevant clinical trial evidence for older people with diabetes. They are intended to support clinical decisions in older people with diabetes and the primary focus is enhancing high quality diabetes care by the use of best available evidence.

    The principles used for developing the recommendations are drawn from the Scottish Intercollegiate Guidelines Network (SIGN) based in Edinburgh, Scotland. Using SIGN 50, the Guidelines developer's handbook, each reviewer evaluated relevant and appropriate studies which have attempted to answer key clinical questions identified by the Working Party. Searches were generally limited to English language citations over the previous 15 years but the wide experience and multinational nature of the Working party ensured that citations in Italian, French Spanish, and German were considered if relevant. All relevant published articles were identified from the following databases: Embase, Medline/PubMed, Cochrane Trials Register, Cinahl, and Science Citation. Hand searching of 13 key major peer-reviewed journals was undertaken by two reviewers and included the Lancet, Diabetes, Diabetologia, Diabetes Care, Diabetes and Metabolism, British Medical Journal, New England Journal of Medicine, and the Journal of the American Medical Association.

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  • A collaborative Expert Group of the IAGG and EDWPOP and an International Task Force have explored the key issues that affect diabetes in older people using a robust method comprising a Delphi process and an evidence-based review of the literature. Eight domains of interest were initially agreed and discussed: hypoglycemia, therapy, care home diabetes, influence of comorbidities, glucose targets, family/carer perspectives, diabetes education, and patient safety.

    A set of "consensus" statements was produced in each domain of interest. These form a foundation for future policy development in this area and should influence the clinical behavior and approach of all health professionals engaged in delivering diabetes care to older people.

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  • The International Position Statement provides the opportunity to summarise all existing clinical trial and best practice evidence for older people with frailty and diabetes. It is the first document of its kind and is intended to support clinical decisions that will enhance safety in management and promote high quality care.

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Diabetes and frailty paper and position statement planned

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The next major task of the EDWPOP is to launch international guidance (also involving several international organisations including the IAGG-Garn and...
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