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The aging of the baby boomer generation has led to what is being called a “silver tsunami.” As of 2014, there were nearly 46 million older adults in the U.S., and 10,000 members of the baby boom generation will turn 65 every day until 2030. By 2040, the number of older adults will surpass 80 million and constitute about 22% of the U.S. population.1 The vast majority of older adults live independently, but about 1.5 million reside in long-term care settings such as nursing homes. As much as 10% of those ≥85 years old live in institutional settings. Twenty-six percent of the population >65 years old has diabetes. Considering the aging of the population, the increased life expectancy, and the increase in diabetes prevalence, nurses will be asked to provide diabetes care and education in the home as well as in assisted and long-term care facilities. The nurse’s role as advocate, care provider, and educator of staff, patient, and family will be pivotal.

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