How tight of control over diabetes should older patients have?

How tight of control over diabetes should older patients have?  Not that tight. 

The risks of treating type 2 diabetic patients over the age of 70 with insulin or sulfonylurea drugs AND having the patient maintain a hemoglobin A1c less than 7 INCREASES the risk of unnecessary hospitalization.  So, be sure you know your hemoglobin A1c level and know your hemoglobin A1c goal for your age. 

Have a hypoglycemia plan. Stash appropriate snacks nearby. Have a working glucometer with lancets and test strips if you are on insulin or sulfonylureas to check your blood sugar if you feel low.

I tell my patients that I have many goals for them. One of them is to find joy every day.  And, then I joke let’s find that joy outside of the hospital. 


About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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