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Geriatric Diabetes

Alissa Segal, Pharm.D., C.D.E., Medha Munshi, M.D., Nora Saul, M.S., R.D., C.D.E.
Our team includes a geriatric endocrinologist, clinical pharmacist and educator/nutritionist experienced in working with older adults who have diabetes. Team members have worked together to serve this unique population, both within the clinic and through various clinical trials.

Led by Dr. Medha Munshi a specialist in both endocrinology and gerontology, the Geriatric Diabetes Program at Joslin caters to the needs of older patients with diabetes. 

Diabetes is a chronic, progressive disease that can have serious implications for the well-being of both patients and their families. Older patients have unique challenges in managing their diabetes:

  • They may have vision and dexterity problems that interfere with their ability to take their medication,
  • Many may have lost spouses and friends and live on their own, which can contribute to depression and poor eating habits. 
  • If older patients are experiencing hypoglycemia, they can be at risk for falls which can further compromise their independence, making diabetes care harder. 

Our clinic evaluates the physical, social and emotional/cognitive status of patients and identifies specific barriers patients and families have in performing diabetes self-management skills.

Each patient undergoes a comprehensive evaluation that includes assessments of:

  • Medical history
  • Medication use
  • Ability to perform self-care behaviors
  • Hypoglycemia severity & frequency
  • Memory
  • Problem solving skills
  • Mood
  • Nutritional intake
  • Physical activity
  • Social background & support system

We welcome and encourage family member and care-giver participation during patient visits.

The goal for patients cared for through the Geriatric Diabetes Program:

  • The best diabetes control possible taking into account the patient’s overall health status, abilities, social situation and wishes.
  • Focused education at each visit to provide self-care and effective diabetes management
  • Individual simplified diet and exercise regimen based on personal capabilities
  • Communication with patients and family members
  • Recognition and support for the dignity and self-efficacy of each of our patients

With all the advantages of having the expertise and backing of the Joslin behind us, isn’t the Geriatric Diabetes Program at Joslin the place you want your parent or grandparent to get their care?

For more information or to make an appointment please call (617) 309-2440.

Research in the Geriatric Diabetes Program

Our team at Joslin provides unique opportunities to participate in clinical research opportunities specifically targeting the issues that concern older adults with diabetes. For more information, please call 617-309-4683.


Q&A | Dr. Medha Munshi

Contact Information

To make an appointment with the Geriatric Diabetes Clinic team, call


Page last updated: February 25, 2014