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Geriatric Medicine

Diabetes and Aging in Elderly Patients: Aging diabetes patients often present complex cases. They routinely have multiple comorbidities, polypharmacy, and numerous frailties. Treatment is very case specific for the elderly. The healthcare professional must take all these factors into account when developing a treatment plan and regimen. New insights are frequently emerging from clinical research to help improve geriatric diabetes patient outcomes.

Reteach to Dispel Fear and Misunderstandings

Female, 76 years of age, type 2 diabetes, well managed, A1C 6%, on metformin 500mg daily. Patient also has well-managed hypertension, hyperlipidemia, and osteoporosis. She lives alone. Wants tighter diabetes control. Was having hypoglycemia when on 500mg twice daily. Requests, almost begs me, to increase her medication. States she’s afraid she’s going to have kidney problems.

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