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.
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.
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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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