Are We Overtreating Older Adult Patients With Type 2 Diabetes Mellitus?

[Argirios Argiriou]

04/06/2018

Clinical Implications

Current recommendations from the ADA call for a target HbA1c of less than 7.5% for healthy older adults and a target HbA1c of less than 8% or even 8.5% among more frail older adults.

The current study demonstrates that overtreatment of type 2 diabetes is more common than undertreatment among older and frail adults, with high associated rates of hypoglycemia and falls.

Implications for the Healthcare Team: The healthcare team should be judicious with the total of medications dispensed for diabetes among older and/or frail adults, with specific attention to reduce the risk for hypoglycemia among these patients.

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