(f) Elderly People and Diabetes: The Role of Oily, Sweet Foods, Alcohol, and Smoking 19 10 25

Diabetes is one of the most common chronic diseases among older adults, and its prevalence increases with age due to physiological, lifestyle, and dietary factors. The condition is particularly influenced by the consumption of oily and sweet foods, as well as unhealthy habits such as alcohol use and smoking. Together, these factors worsen the body’s ability to regulate blood sugar, making older people especially vulnerable to diabetes and its complications.


1. Why Older People Are More Prone to Diabetes

As people age, the body undergoes metabolic and hormonal changes:

  • Reduced insulin sensitivity: Cells become less responsive to insulin, leading to high blood glucose.

  • Decreased physical activity: Many elderly individuals lead a more sedentary lifestyle, which reduces glucose utilization.

  • Muscle loss and fat gain: Aging decreases lean muscle mass and increases fat accumulation, especially around the abdomen — a major risk factor for Type 2 diabetes (Kirkman et al., 2012).

These natural changes are made worse by poor dietary and lifestyle habits, such as eating oily cakes, consuming alcohol, and smoking.


2. Role of Oily and Sweet Foods

a) Oily Foods

Elderly people who frequently consume fried and oily foods—such as cakes, pastries, and fast foods—intake high levels of saturated and trans fats. These fats:

  • Increase cholesterol levels and insulin resistance.

  • Promote obesity, especially visceral (abdominal) fat.

  • Raise the risk of heart disease and stroke, which are already common among older adults with diabetes (Mozaffarian et al., 2015).

b) Sweet Foods

With age, the body’s ability to metabolize sugar declines. Regular consumption of sweet foods like desserts, sugary drinks, and confectionery leads to:

  • Spikes in blood glucose, worsening insulin resistance.

  • Weight gain, a major cause of Type 2 diabetes.

  • Increased risk of tooth decay and gum disease, which further complicates diabetic health.

Example: An elderly person who enjoys daily oily cakes or sugary tea may unknowingly raise their blood sugar and cholesterol levels, accelerating diabetes onset.


3. Alcohol and the Elderly with Diabetes

Alcohol affects blood sugar regulation in complex ways:

  • Moderate drinking can cause blood sugar fluctuations.

  • Heavy drinking leads to liver damage, which interferes with glucose production.

  • Alcoholic beverages are often high in calories and sugar, adding to weight gain and insulin resistance.

  • Older adults are more sensitive to alcohol’s effects because of slower metabolism and possible interaction with diabetes medication (American Diabetes Association [ADA], 2022).

Result: Regular alcohol use in the elderly worsens glucose control and increases the risk of hypoglycemia, falls, and cognitive impairment.


4. Smoking and Diabetes in Older Adults

Smoking is particularly dangerous for elderly individuals with or at risk of diabetes:

  • Nicotine reduces insulin sensitivity and damages blood vessels.

  • Smoking increases oxidative stress and inflammation, accelerating complications like heart disease, stroke, and poor wound healing (CDC, 2023).

  • In older adults, smoking also compounds respiratory and circulatory weaknesses, making diabetes management more difficult.

Example: An older smoker with diabetes has a significantly higher risk of foot ulcers, amputations, and cardiovascular death.


5. Consequences for the Elderly

When diabetes is combined with these lifestyle habits, older adults face:

  • Vision loss (retinopathy)

  • Kidney failure (nephropathy)

  • Nerve damage (neuropathy)

  • Memory loss and dementia due to poor blood circulation to the brain

  • Weakened immunity, making infections more likely

The combination of poor diet, alcohol, and smoking accelerates aging and reduces life expectancy (WHO, 2023).


6. Prevention and Healthy Living for Older Adults

  • Balanced diet: Reduce oily and sweet foods; eat fruits, vegetables, whole grains, and lean proteins.

  • Avoid alcohol and smoking: Both aggravate blood sugar control and organ damage.

  • Regular exercise: Walking, stretching, and light aerobic activity help regulate blood sugar.

  • Routine medical check-ups: Regular blood glucose and blood pressure monitoring are vital.


Conclusion

For elderly people, diabetes is both a health and lifestyle challenge. Diets rich in oily and sweet foods, combined with alcohol consumption and smoking, accelerate the development and complications of diabetes. Promoting healthier diets, active living, and substance-free lifestyles among older adults is essential for prolonging life, maintaining independence, and improving quality of life.


References  

  • American Diabetes Association (ADA). (2022). Standards of Medical Care in Diabetes—Older Adults: 2022. Diabetes Care, 45(Supplement_1), S195–S207.

  • Centers for Disease Control and Prevention (CDC). (2023). Smoking and diabetes. Atlanta: CDC.

  • Kirkman, M. S., Briscoe, V. J., Clark, N., et al. (2012). Diabetes in older adults: A consensus report. Journal of the American Geriatrics Society, 60(12), 2342–2356.

  • Mozaffarian, D., Katan, M. B., Ascherio, A., Stampfer, M. J., & Willett, W. C. (2015). Trans fatty acids and cardiovascular disease. New England Journal of Medicine, 354(15), 1601–1613.

  • World Health Organization (WHO). (2023). Diabetes fact sheet and global report on ageing. Geneva: WHO.