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Across the world, older adults (aged ≥70 years) with comorbidities such as diabetes are at highest risk of adverse outcomes and mortality caused by coronavirus disease 2019 (COVID-19).1- 3 These unprecedented times pose a great challenge to this heterogeneous population with varying levels of complexity, frailty, and multimorbidity, as their normal routines have been disrupted while respecting social distancing measures. This has greatly affected their ability to access and receive health care, obtain diabetes medications and supplies, and maintain a healthy lifestyle and social connections. Unlike other situations in their lifetime, this pandemic has potential to last for many months. In this Viewpoint, we present the challenges that older adults with diabetes may encounter and offer practical recommendations to care for them during the COVID-19 pandemic (Table).
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Corresponding Author: Medha N. Munshi, MD, Joslin Diabetes Center, One Joslin Place, Boston, MA 02215 (firstname.lastname@example.org).
Published Online: July 13, 2020. doi:10.1001/jamainternmed.2020.2492
Conflict of Interest Disclosures: Dr Munshi is a consultant for Sanofi and Lilly. No other conflicts of interest were reported.
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