10 practical tips for treating older patients with diabetes

Aim for a BP target of 140/90mmHg, the US Endocrine Society says in their new guidance

Treatment regimes for patients over 65 with diabetes should be tailored to each patient to reduce the risk of hypoglycaemia, according to new US recommendations developed by the Endocrine Society.

The updated clinical practice guideline, containing 35 recommendations, was released at the Society’s conference in New Orleans, US, on Saturday and is due to be published in the Journal of Clinical Endocrinology & Metabolism in May.

Other recommendations for patients aged 65 or older include:

  1. Use fasting glucose and/or HbA1c screenings to diagnose diabetes or pre-diabetes. If patients meet the criteria for prediabetes, a two-hour glucose post-oral glucose tolerance test is recommended. Repeat screening every two years if the initial screening test is normal.
     
  2. Treatment regimes for patients with diabetes should be individually designed to reduce the risk of hypoglycaemia.

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