Dr. Medha Munshi: tailoring diabetes care for older patients

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Medha Munshi, M.D., is Director of the Geriatric Diabetes Clinic at Joslin Diabetes Center

The July 9 issue of The Lancet profiled Joslin’s Dr. Medha Munshi and her work in the field of Geriatric Diabetes.

“As knowledge about diabetes has increased, treatments have become more effective, but also more complex. For older people, this presents especially difficult challenges, which are often not taken into account by physicians.

“This means that the treatment can sometimes do more harm than the disease,” says Medha Munshi, Director of the Geriatric Diabetes Clinic at Joslin Diabetes Center and a staff geriatrician at Beth Israel Deaconess Medical Center, both teaching and research affiliates of Harvard Medical School.

She adds that “Most older patients with diabetes also have other illnesses and can be easily overwhelmed by the complicated care regimens for diabetes.” These patients need a special level of care—and with a different outcome goal—that is distinct from that needed by younger adults, explains Munshi, who is also an Assistant Professor of Medicine at Harvard Medical School. “When you talk about older patients, the risk and benefit ratio changes”, she says.  Continue reading →

3 Responses to Dr. Medha Munshi: tailoring diabetes care for older patients

  1. Roger Wilson says:

    Good morning,

    Note: This email was originally directed to Norma Sanchez at nsanche2@midmc.harvard.edu but was bounced back by my mail server postmaster.

    I have had diabetes type 1 since June of 1962 (49 years) and have been experiencing Gastroparesis bloating, stomach discomfort, and excessive stomach fullness for the last 5 months. If I qualify, I would like to check into the Joslin Diabetes Center to participate in your Gastroparesis Study for Type 1 diabetics.

    Also, next year (June 2012) when I have had type 1 diabetes 50 years, I would like to participate in the Research Volunteer Opportunities. Currently, I have been a type 1 diabetic for 49 years. I was on the Medtronic pump for 5 years and currently am on 72 units of Levemir insulin once a day and Novolog before each meal (4/6/5). Could you give me or direct me to where I could pursue information on the 50+ years research study?

    Thank you and have a great day!

    Roger Wilson, Ph.D.
    1698 Mary Lou Retton Drive
    Fairmont, WV 26554
    (304) 363-2077 (home)
    (304) 816-8059 (cell)

    Dr. Roger W. Wilson
    Assistant Professor of Business Information Systems Management
    School of Business
    Fairmont State University, WV 26554
    (304) 367-4064 (office)

  2. I have forwarded your message about the clinical study to our study coordinator.

    Information on the medalist study can be found here:

    http://www.joslin.org/medalist/6268.html

  3. Diane Kaiser says:

    I have been dinois with type 2 for about 4 yrs. At first they said it was because of medicine I was taking, so I quite. It did not go away. Now I am trying to put together what my new doctor wants from me. She wants me to do 2 units per ?. I have no idea. I am to use Novolog for the fast acting and Lantus at night (80 units) and (20 units) in the A.M. I just don’t understand about the Novolog. I am afraid to take to much and to little. My old doctor wanted me on a sliding scale. Can I use this scale with the pen?
    Thanks for any help,
    Diane

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